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Individual

CAITLIN MARIE HEPNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209
Mailing address
1132 E POLSTON AVE, POST FALLS, ID 83854-6045
(208) 777-7800
(208) 777-9209

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
PT-4828
ID
2251X0800X
Orthopedic Physical Therapist
Primary
PT-4828
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134149941
ID
Enumeration date
02/09/2017
Last updated
02/09/2017
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