Individual
JEAN A MCCONNELL-COPPLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
755 BOARDMAN CANFIELD RD, BLDG F, UNIT 2, BOARDMAN, OH 44512
(330) 480-9362
(330) 480-9407
Mailing address
755 BOARDMAN CANFIELD RD, BLDG F, UNIT 2, BOARDMAN, OH 44512
(330) 480-9362
(330) 480-9407
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT10021
OH
225100000X
Physical Therapist
PT10021
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2384647
—
OH
Enumeration date
02/23/2006
Last updated
10/29/2024
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