Individual
MRS. REBECCA ELLEN COPPESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2786 56TH ST SW, WYOMING, MI 49418-8708
(616) 261-3960
(616) 261-3925
Mailing address
2786 56TH ST SW, WYOMING, MI 49316
(616) 261-3960
(616) 261-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201006562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40585200
—
MI
Enumeration date
11/05/2013
Last updated
11/05/2013
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