Individual
MRS. BROOKE N PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, PTA
Contact information
Practice address
4850 E MAIN ST, COLUMBUS, OH 43213-3194
(641) 566-0929
Mailing address
313 TRAIL E, ETNA, OH 43062-9694
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
08358
OH
2255A2300X
Athletic Trainer
002761
OH
Other
Enumeration date
06/07/2013
Last updated
06/07/2013
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