KENNETH REPP

SURPRISE, AZ
NPI1982949913
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: AZ  5491A)
Enumeration Date2012-12-03
Last Update Date2016-12-30
Business Address
-- KENNETH REPP PTA
14800 W MOUNTAIN VIEW BLVD SUITE 260
SURPRISE, AZ 85374-4795
Phone number: 623-556-5013
Mailing Address
-- KENNETH REPP PTA
14800 W MOUNTAIN VIEW BLVD SUITE 260
SURPRISE, AZ 85374-4795
Phone number: 623-556-5013
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