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NPI Code Detail

MEDICARE: MRS. JANET SUE PIPPIN P.T.

MEDICARE:  MRS. JANET SUE PIPPIN  P.T.
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
1225100000XPhysical Therapist552AZ

General Provider Information

NPI Number : 1700069531
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JANET SUE PIPPIN P.T.
Provider Business Mailing Address
First Line : 3280 POPPY TRAIL DR
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86406-7816
Country : US
Telephone Number : 928-453-2553
Fax Number :
Provider Business Practice Location Address
First Line : 2781 OSBORN DR
Second Line :
City : LAKE HAVASU CITY
State : AZ
Zip : 86406-8629
Country : US
Telephone Number : 928-505-5552
Fax Number : 928-505-2660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2007
Last Update Date : 12/15/2007

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Directions to “ MRS. JANET SUE PIPPIN P.T.” Practice Location

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