Individual
REBECCA KOEPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
(602) 265-4124
Mailing address
2302 N 15TH AVE, PHOENIX, AZ 85007-1201
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11783
AZ
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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