Provider Demographics
NPI:1093724726
Name:PIEPER, KOREY VERA (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KOREY
Middle Name:VERA
Last Name:PIEPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KOREY
Other - Middle Name:VERA
Other - Last Name:PULAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:39 QUAIL CT STE 300
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-5570
Mailing Address - Country:US
Mailing Address - Phone:925-977-9300
Mailing Address - Fax:925-395-4829
Practice Address - Street 1:39 QUAIL CT STE 300
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5570
Practice Address - Country:US
Practice Address - Phone:925-977-9300
Practice Address - Fax:925-395-4829
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2020-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 32981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWPT32981AMedicare PIN