Individual
JOHN KOPSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1333 SCENIC DR, HERCULANEUM, MO 63048-1550
(636) 931-2995
Mailing address
3619 TAMM AVE, SAINT LOUIS, MO 63109-1358
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2021021473
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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