Provider Demographics
NPI:1003284266
Name:EPP, TONYA M (DPT)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:M
Last Name:EPP
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:999 44TH STREET
Mailing Address - Street 2:SUITE 10,000
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-3846
Mailing Address - Country:US
Mailing Address - Phone:319-373-7311
Mailing Address - Fax:319-373-7313
Practice Address - Street 1:999 44TH ST
Practice Address - Street 2:SUITE 10,000
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-3846
Practice Address - Country:US
Practice Address - Phone:319-373-7311
Practice Address - Fax:319-373-7313
Is Sole Proprietor?:No
Enumeration Date:2015-09-04
Last Update Date:2016-09-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA077433225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist