Doctor Name: | AMBER PIPPEN |
NPI Number: | 1104115443 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 1203969 |
Business Practice Address: | 4625 Boat Club Rd Fort Worth, TX - 761357022 |
Business Phone Number: | 8172389295 |
Business Fax Number: | 8172389299 |
Mailing Address: | 6037 Harris Pkwy, FORT WORTH |
State: | TX |
Postal Code: | 761324103 |
Phone Number: | 8173709891 |
Fax Number: | 8173709891 |
NPI Enumeration Date: | 04/06/2011 |
NPI Last Update Date: | 04/06/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 1203969 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |