Individual
JESSIE NICHOLE COPEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3633 E 2ND ST, EDMOND, OK 73034-7326
(405) 297-4575
(405) 758-5510
Mailing address
1650 LYNDON FARM CT STE 300, LOUISVILLE, KY 40223-5005
(812) 590-8333
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2977
OK
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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