Individual
ANTOINETTE MARIE COPE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3500 COFFEE RD, SUITE 3, MODESTO, CA 95355-1344
(209) 342-2300
(209) 524-4240
Mailing address
1917 COFFEE RD, MODESTO, CA 95355-2704
(209) 342-2300
(209) 524-4240
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16496
CA
Other
Enumeration date
11/09/2005
Last updated
05/01/2019
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