Individual
TONY COPLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5334 N SYDENHAM ST, PHILADELPHIA, PA 19141-1620
(267) 734-6853
Mailing address
5334 N SYDENHAM ST, PHILADELPHIA, PA 19141-1620
(267) 734-6853
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
68953601
PA
376K00000X
Nurse's Aide
68953601
PA
385H00000X
Respite Care
68953601
PA
Other
Enumeration date
03/29/2023
Last updated
03/29/2023
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