Carla A Tippitt
Occupational Therapist - Hand
1415 W Mound Rd
Decatur
, Illinois 62526-1263
Carla A Tippitt
Occupational Therapist - Hand
1415 W Mound Rd
Decatur
, Illinois 62526-1263
(217) 824-2991
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Carla A Tippitt
- 2114 Eastwood Dr
- Taylorville, IL
- Zip : 62568-9083
- Phone : (217) 824-2991
Second Address
- Carla A Tippitt
- 1415 W Mound Rd
- Decatur, IL
- Zip : 62526-1263
- Phone : (217) 824-2991
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 056003368 | IL |
National Provider Identifier
| NPI | 1033749080 |
|---|---|
| Provider Name | Carla A Tippitt |
| First Address | Taylorville, IL 62568-9083 |
| Second Address | Decatur, IL 62526-1263 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/01/2020 |
| Last Update Date | 17/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.