Doctor Name: | MRS. KELLY DAWN REPKA |
NPI Number: | 1649394941 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 017307 |
Business Practice Address: | 290 Red School Ln Phillipsburg, NJ - 088652276 |
Business Phone Number: | 9088592800 |
Business Fax Number: | 9088591866 |
Mailing Address: | 1070 Cosenza Ct, EASTON |
State: | PA |
Postal Code: | 180408094 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 01/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 017307 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |