Individual
CAROLYN MARIE COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
216 COUNTY ROUTE 64, MEXICO, NY 13114-3229
(315) 963-0864
(315) 963-7693
Mailing address
PO BOX 519, WATERTOWN, NY 13601-0519
(315) 782-3941
(315) 782-3816
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
026236
NY
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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