Provider Demographics
NPI:1750641296
Name:SIPPL, WHITNEY ANN (DPT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ANN
Last Name:SIPPL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ANN
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18271 MCDURMOTT W
Mailing Address - Street 2:SUITE J
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-6754
Mailing Address - Country:US
Mailing Address - Phone:949-752-2227
Mailing Address - Fax:949-752-2231
Practice Address - Street 1:18271 MCDURMOTT W
Practice Address - Street 2:SUITE J
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-6754
Practice Address - Country:US
Practice Address - Phone:949-752-2227
Practice Address - Fax:949-752-2231
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY033905225100000X
CA39263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist