Individual
AMANDA M KOPETSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 MONUMENT RD, STE 207, BALA CYNWYD, PA 19004-1725
(800) 203-8657
Mailing address
150 MONUMENT RD STE 207, BALA CYNWYD, PA 19004-1725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004902
PA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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