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Individual

MR. JOHNNY MICHAEL REPKO IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
2317 E HOME RD, SPRINGFIELD, OH 45503-2520
(937) 629-3308
(937) 629-3312
Mailing address
605 1/2 W WAYNE ST, CELINA, OH 45822-1460
(419) 584-0813

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
010991
OH

Other

Enumeration date
08/13/2009
Last updated
08/13/2009
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