Individual
TARA PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PT
Contact information
Practice address
472 KAULANA ST, KAHULUI, HI 96732-2050
(808) 877-2761
Mailing address
2061 S KIHEI RD, APT 2, KIHEI, HI 96753-9702
(720) 206-5931
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4214
HI
225100000X
Physical Therapist
7485
CO
Other
Enumeration date
05/11/2011
Last updated
10/20/2016
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