Individual
BRIAN ADAM EPPOLITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1110 WILKINSON TRCE, BOWLING GREEN, KY 42103-3402
(270) 796-6850
(270) 781-8228
Mailing address
PO BOX 641268, CINCINNATI, OH 45264-0304
(270) 745-1120
(270) 745-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003374
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1760411342
GROUP NPI #
KY
05
—
GROUP # 91011148
—
KY
Enumeration date
12/01/2006
Last updated
07/08/2007
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