Individual
DESTINI COPAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, LNHA
Contact information
Practice address
1610 28TH ST, PORTSMOUTH, OH 45662-2641
(740) 354-3135
Mailing address
2694 GRACES RUN RD, WINCHESTER, OH 45697-9016
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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