Individual
MRS. JOAN COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
105 S 6TH ST, PACIFIC, MO 63069-1328
(636) 271-4222
Mailing address
7295 HIGHWAY HH, CATAWISSA, MO 63015-1296
(636) 257-6503
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2000146274
MO
Other
Enumeration date
06/19/2007
Last updated
07/08/2007
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