Provider Demographics
NPI:1184980039
Name:LIPCHIN, CARRIE MARGARET (MPT)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:MARGARET
Last Name:LIPCHIN
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5024 ELDER RD
Mailing Address - Street 2:
Mailing Address - City:HYDES
Mailing Address - State:MD
Mailing Address - Zip Code:21082-9548
Mailing Address - Country:US
Mailing Address - Phone:410-804-7351
Mailing Address - Fax:
Practice Address - Street 1:5024 ELDER RD
Practice Address - Street 2:
Practice Address - City:HYDES
Practice Address - State:MD
Practice Address - Zip Code:21082-9548
Practice Address - Country:US
Practice Address - Phone:410-804-7351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-04
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19583225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist