Individual
KELLY R PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3201 W PEORIA AVE STE B408, PHOENIX, AZ 85029-4610
(623) 322-0654
(623) 322-0664
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12993PT
AZ
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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