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Individual
MRS. KELLY ANN COPE-RANDALL
Active
Individual
MRS. KELLY ANN COPE-RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1291900
TX
225100000X
Physical Therapist
2305205551
VA
225100000X
Physical Therapist
8814
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036551
MEDICARE PROVIDER NUMBER
AZ
Enumeration date
01/27/2010
Last updated
07/21/2022
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