Individual
MRS. LISA COPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
118 RAUCH DR, MARIETTA, OH 45750-9700
(304) 482-7324
Mailing address
118 RAUCH DR, MARIETTA, OH 45750-9700
(304) 482-7324
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
7549
OH
Other
Enumeration date
03/07/2014
Last updated
03/07/2014
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