| NPI | 1033942347 |
|---|---|
| Former Name | HEATHER LIPPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NC P21489) |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2024-08-22 |
| Last Update Date | 2025-08-20 |