Individual
KARI MITCHELL-COPLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
500 E 3RD ST, BUCHANAN, MI 49107
(269) 409-8626
Mailing address
2413 ELIZABETH ST, NILES, MI 49120-7709
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502003733
MI
Other
Enumeration date
07/01/2018
Last updated
07/01/2018
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