| Trippel Interests, Llc | |
|
6799 E Texas St Bossier City LA 71111 | |
| (318) 616-2336 | |
| Not Available |
| Full Name | Trippel Interests, Llc |
|---|---|
| Speciality | Occupational Therapist - Pediatrics |
| Location | 6799 E Texas St, Bossier City, Louisiana |
| Authorized Official Name and Position | Madelyn Marie Trippel (OCCUPATIONAL THERAPIST) |
| Authorized Official Contact | 3186162336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trippel Interests, Llc 6799 E Texas St Bossier City LA 71111 Ph: (318) 616-2336 | Trippel Interests, Llc 6799 E Texas St Bossier City LA 71111 Ph: (318) 616-2336 |
| NPI Number | 1447020284 |
|---|---|
| Provider Enumeration Date | 01/03/2024 |
| Last Update Date | 01/03/2024 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447020284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Primary |
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