Individual
KENNETH STUART COPES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1765 OLD WEST BROAD ST, BLDG 1 SUITE 100, ATHENS, GA 30606-2867
(706) 543-2111
(706) 543-2190
Mailing address
788 PRINCE AVE, STE C, ATHENS, GA 30606-5912
(706) 543-2111
(706) 543-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT004796
GA
Other
Enumeration date
06/02/2006
Last updated
12/03/2019
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