Individual
ERIN ELIZABETH COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., D.P.T.
Contact information
Practice address
54 S SAGINAW ST, LAPEER, MI 48446
(800) 974-4378
(630) 515-1536
Mailing address
54 S SAGINAW ST, LAPEER, MI 48446-2601
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501015148
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N409974
STATE LICENSE
MI
Enumeration date
04/16/2010
Last updated
09/06/2018
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