Individual
JESSICA COPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4851 WUNNENBERG WAY, SUITE D, WEST CHESTER, OH 45069-4855
(513) 874-8800
(513) 672-0519
Mailing address
4851 WUNNENBERG WAY, SUITE D, WEST CHESTER, OH 45069-4855
(513) 874-8800
(513) 672-0519
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT/015361
OH
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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