Individual
MR. CHAD COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
1158 46TH ST, VIENNA, WV 26105-9409
(304) 295-3131
(304) 295-0700
Mailing address
1 LAWNSDALE VW, VIENNA, WV 26105-1559
(304) 295-5195
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002015
WV
Other
Enumeration date
04/03/2006
Last updated
03/25/2008
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