Individual
KATHERINE PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
690 MINOT AVE STE 2, AUBURN, ME 04210-3922
(207) 783-3450
Mailing address
PO BOX 262, KENTS HILL, ME 04349-0262
(207) 685-3680
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2799
LICENSE #
ME
Enumeration date
09/20/2006
Last updated
07/08/2007
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