DERRICK S TIPTON

ZEPHYRHILLS, FL
NPI1053667469
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA 23080)
Enumeration Date2012-08-03
Last Update Date2012-08-03
Business Address
Mr. DERRICK S TIPTON PTA
5939 GALL BLVD.
ZEPHYRHILLS, FL 33542
Phone number: 816-932-3315
Mailing Address
Mr. DERRICK S TIPTON PTA
8730 N HIMES AVE APT 1209
TAMPA, FL 33614-8308
Phone number: 813-481-8632
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