Individual
LISA A COPPOTELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
320 E MAIN ST, WESTFIELD, IN 46074-9493
(317) 867-3206
Mailing address
8902 N MERIDIAN ST, STE 215, INDIANAPOLIS, IN 46260-5382
(317) 581-1890
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05011504A
IN
Other
Enumeration date
08/25/2014
Last updated
06/25/2015
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