MEDICARE: LEE ANN TRIPEPI OTRL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XP0200X	Pediatric Occupational Therapist	OT 3357	FL

General Provider Information

NPI Number	:	1275679235
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEE ANN TRIPEPI OTRL

Provider Business Mailing Address
First Line	:	1480 SAN ROY DR
Second Line	:
City	:	DUNEDIN
State	:	FL
Zip	:	34698-4352
Country	:	US
Telephone Number	:	727-736-2391
Fax Number	:

Provider Business Practice Location Address
First Line	:	1725 E BAY DR STE C
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33771-2208
Country	:	US
Telephone Number	:	727-582-9665
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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