Individual
JEFFREY C COPPERSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5025 25TH AVE NE, SUITE 201, SEATTLE, WA 98105-4151
(206) 524-6702
(206) 524-6703
Mailing address
611 N 64TH ST, SEATTLE, WA 98103-5631
(206) 789-2951
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003173
WA
Other
Enumeration date
02/13/2007
Last updated
07/08/2007
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