MARY KRISTINE SIPPLE

SALEM, OR
NPI1346520442
Former NameMARY KRISTINE SOUTHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  7677)
Enumeration Date2011-08-19
Last Update Date2011-08-19
Business Address
-- MARY KRISTINE SIPPLE L.PTA
3270 LIBERTY RD S
SALEM, OR 97302
Phone number: 503-371-0779
Mailing Address
-- MARY KRISTINE SIPPLE L.PTA
3270 LIBERTY RD S
SALEM, OR 97302
Phone number: 503-371-0779