Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0200X | Occupational Therapist - Pediatrics |
NPI | 1043853708 |
---|---|
Provider Name | Lindsay Elizabeth Lippert |
First Address | Pittsburgh, PA 15234-1117 |
Second Address | Austin, TX 78703-5338 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2019 |
Last Update Date | 24/10/2019 |