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Individual
DR. THEODORE KOPP
Active
Individual
DR. THEODORE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
30966
AL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
30966
AL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
30966
AL
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
30966
AL
Other
Enumeration date
10/23/2007
Last updated
02/04/2021
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