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Individual

BREANNA EPPLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T., DPT, CSCS

Contact information

Practice address
280 DOBBS FERRY RD, SUITE #209, WHITE PLAINS, NY 10607-1900
(914) 428-9698
(914) 428-6013
Mailing address
280 DOBBS FERRY RD, SUITE #209, WHITE PLAINS, NY 10607-1900
(914) 428-9698
(914) 428-6013

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
028078-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Q4W9X1
MEDICARE GROUP ID
NY
Enumeration date
12/11/2006
Last updated
10/05/2007
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