Individual
NIKKI LEPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 506-5779
Mailing address
911 KELLY AVE, THE DALLES, OR 97058-2650
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7377
OR
Other
Enumeration date
04/08/2015
Last updated
04/08/2015
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