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Individual

KEVIN J RUPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1610 GROVER ST, STE B2, LYNDEN, WA 98264-1539
(360) 354-5245
(360) 354-7796
Mailing address
1610 GROVER ST, STE B2, LYNDEN, WA 98264
(360) 354-5245
(360) 354-7796

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT60093452
WA

Other

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