Provider Demographics
NPI:1356330138
Name:PEPE, DONNA M (PT)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:M
Last Name:PEPE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-584-8208
Mailing Address - Fax:866-210-2804
Practice Address - Street 1:4900 S MONACO ST
Practice Address - Street 2:SUITE 210
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3486
Practice Address - Country:US
Practice Address - Phone:303-584-8208
Practice Address - Fax:866-210-2804
Is Sole Proprietor?:No
Enumeration Date:2005-10-14
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COPTL-7771225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist