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MRS. GEORGIA SUE TIPSWORD OT
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1962966580
Individual Registrant:MRS. GEORGIA SUE TIPSWORD OT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
22923 BUCCANEER LN CUDJOE KEY, FL 33042-4248 US
Tel: 850-380-5428 Fax: --
Tel: 850-380-5428 Fax: --
Contact information for business:
22923 BUCCANEER LN CUDJOE KEY, FL 33042-4248 US
Tel: 850-380-5428 Fax: --
Tel: 850-380-5428 Fax: --
Registration Information:
NPI: 1962966580
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist | FL | 9720 |
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | FL | 9720 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
