Beverly Pippin, PTA

NPI #1720286198 in Red Oak, Iowa

Provider Information

NPI Number: 1720286198
Entity Type: Individual
Name: Beverly Pippin, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 2301 EASTERN AVE
City: Red Oak
State: Iowa
ZIP Code: 51566
Phone: (712) 623-7163

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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