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SUMMER PEPPLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
5778 CHAPIN ST, FLORENCE, WI 54121-9443
(715) 696-3605
Mailing address
N2091 STONE CLIFF DR, VULCAN, MI 49892-8745
(906) 563-5744

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1657
WI
225200000X
Physical Therapy Assistant
5502001867
MI

Other

Enumeration date
03/22/2010
Last updated
03/22/2010
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