Individual
KELLY DEPPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1840 W HIGH ST, PIQUA, OH 45356-9399
(937) 619-3473
Mailing address
1100 SHAWNEE RD, LIMA, OH 45805-3583
(419) 999-2010
(419) 999-6284
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010438
OH
Other
Enumeration date
02/10/2016
Last updated
05/24/2022
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