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Individual

JUSTIN EMIL TEPEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
303 N KEENE ST, SUITE 102, COLUMBIA, MO 65201-7193
(573) 443-0225
(573) 443-0290
Mailing address
109 N LINCOLN DR, STE A, TROY, MO 63379-1426
(573) 489-8393
(573) 443-0290

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2009033455
MO

Other

Enumeration date
11/02/2009
Last updated
06/25/2021
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