Individual
DOUGLAS COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1110 K ST, EUREKA, CA 95501-2458
(949) 285-3209
Mailing address
1110 K ST, EUREKA, CA 95501-2458
(949) 285-3209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2795
CA
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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