Provider Demographics
NPI:1972667830
Name:KYPER, SALLY JANE (PT)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:JANE
Last Name:KYPER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SALLY
Other - Middle Name:JANE
Other - Last Name:DARNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:208 BARRINGTON OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-6679
Mailing Address - Country:US
Mailing Address - Phone:919-308-2404
Mailing Address - Fax:919-598-8666
Practice Address - Street 1:208 BARRINGTON OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-6679
Practice Address - Country:US
Practice Address - Phone:919-308-2404
Practice Address - Fax:919-598-8666
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2032225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist