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NPI Code Detail

MEDICARE: CHRISTINE ANNE LIPPOWITSCH PTA

MEDICARE: CHRISTINE ANNE LIPPOWITSCH PTA
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
1225200000XPhysical Therapy Assistant01208OH

General Provider Information

NPI Number : 1104477744
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE ANNE LIPPOWITSCH PTA
Provider Business Mailing Address
First Line : 7487 GINGER LN
Second Line :
City : CINCINNATI
State : OH
Zip : 45244-2922
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8139 BEECHMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-3152
Country : US
Telephone Number : 513-518-4346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2019
Last Update Date : 09/25/2019

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Directions to “ CHRISTINE ANNE LIPPOWITSCH PTA” Practice Location

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