Individual
TAYLOR KOPECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
64745 MELINDA CT, BEND, OR 97701-8828
(541) 249-3703
(971) 242-4088
Mailing address
1000 S MCKERN CT UNIT 55, NEWBERG, OR 97132-7144
(503) 833-2788
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65183
OR
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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