Individual
MRS. MARY COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 MICHAEL DR N, PLAINFIELD, IN 46168-2095
(317) 313-0903
Mailing address
1801 MICHAEL DR N, PLAINFIELD, IN 46168-2095
(317) 313-0903
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20900240
IN
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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