Individual
MR. JASON EDWARD COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
115 E MELROSE AVE, BALTIMORE, MD 21212-2945
(410) 435-9073
Mailing address
2905 FALLSTAFF RD, APT 25, BALTIMORE, MD 21209-3275
(610) 390-9848
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3847
MD
Other
Enumeration date
12/19/2014
Last updated
12/19/2014
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