Individual
MS. HEATHER CHARLOTTE COPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2520 RIVERSIDE DR, BABIES CAN'T WAIT, MACON, GA 31204-1571
(478) 745-9200
(478) 745-9040
Mailing address
138 ROGERS AVE, MACON, GA 31204-3012
(478) 319-2264
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT000370
GA
Other
Enumeration date
01/21/2011
Last updated
01/21/2011
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