Individual
SALLY KAPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
10 SOUTH ST, SUITE 105, RIDGEFIELD, CT 06877-4124
(203) 431-7632
(203) 431-9259
Mailing address
6560 CENTERVILLE BUSINESS PKWY, CENTERVILLE, OH 45459-2685
(937) 470-7612
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016659
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114979226
ANTHEM BLUE CROSS
CT
Enumeration date
03/05/2010
Last updated
09/29/2020
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