Individual
ERIC KOPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,OMT,OCS,FAAOMPT
Contact information
Practice address
3 FARM GLEN BLVD, FARMINGTON, CT 06032-1981
(860) 284-9780
(860) 409-9177
Mailing address
210 COMMERCE WAY, STE 120, PORTSMOUTH, NH 03801-8200
(603) 427-8066
(603) 501-0495
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007117
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004226206
—
CT
Enumeration date
10/03/2006
Last updated
03/05/2018
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