Individual
CONNOR COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3175 E GENESEE ST, SYRACUSE, NY 13224-1697
(315) 810-2423
Mailing address
942 WESCOTT ST, SYRACUSE, NY 13210-2508
(321) 313-6657
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
028470
NY
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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