Tyler Tripp

NPI #1063209344 in Wauseon, Ohio

Provider Information

NPI Number: 1063209344
Entity Type: Individual
Name: Tyler Tripp
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Clinic/Center - Developmental Disabilities
Enumeration Date: Apr 22, 2025
Last Updated: Apr 22, 2025

Practice Location

Address: 1210 N OTTOKEE ST
City: Wauseon
State: Ohio
ZIP Code: 43567-1906
Phone: (419) 377-4575

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Developmental Disabilities — Developmental Disabilities	261QD1600X	Primary

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