Stephanie Tippmann

NPI #1407317779 in Fort Wayne, Indiana

Provider Information

NPI Number: 1407317779
Entity Type: Individual
Name: Stephanie Tippmann
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Mar 28, 2019
Last Updated: Mar 28, 2019

Practice Location

Address: 9426 LIMA RD
City: Fort Wayne
State: Indiana
ZIP Code: 46818-8680
Phone: (260) 497-0328

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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