Provider Demographics
NPI:1043766876
Name:LIPMAN, GABRIELLE EVA (MOT, OTR/L)
Entity Type:Individual
Prefix:
First Name:GABRIELLE
Middle Name:EVA
Last Name:LIPMAN
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23391 FEATHER PALM CT
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6165
Mailing Address - Country:US
Mailing Address - Phone:561-865-6841
Mailing Address - Fax:561-763-7394
Practice Address - Street 1:23391 FEATHER PALM CT
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6165
Practice Address - Country:US
Practice Address - Phone:561-865-6841
Practice Address - Fax:561-763-7394
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT17647225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist