Individual
MRS. SALINA MARIE KOPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
207 N CHASE ST, JOHNSTOWN, NY 12095-1810
(518) 848-6583
Mailing address
207 N CHASE ST, JOHNSTOWN, NY 12095-1810
(518) 848-6583
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
005889-1
NY
Other
Enumeration date
01/04/2012
Last updated
01/04/2012
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