Individual
MR. JOSEPH GREGORY KOPACZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
SOUTHWEST GENERAL HEALTH CENTER, 18697 BAGLEY ROAD, MIDDLEBURG HTS., OH 44130-3497
(440) 816-8008
(440) 816-4850
Mailing address
3579 JAMES BLVD, BRUNSWICK, OH 44212-2223
(330) 220-2470
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 000845
OH
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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