Individual
MEREDITH COPETILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
801 POLE LINE RD W, TWIN FALLS, ID 83301-5810
(208) 814-1000
Mailing address
2315 SALCEDO AVE, SAVANNAH, GA 31406-4243
(912) 433-8632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2371464
ID
225100000X
Physical Therapist
PT016582
GA
Other
Enumeration date
07/03/2025
Last updated
07/03/2025
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