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Individual

STEPHEN BENNETT COPE JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3280 DAUPHIN ST, SUITE A103, MOBILE, AL 36606-4060
(256) 350-1764
(256) 350-7757
Mailing address
1908 FLINT RD SE, DECATUR, AL 35601-6031
(256) 340-9708
(256) 340-9624

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3816
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1003819608
GROUP NPI
AL
05
529917620
AL
Enumeration date
08/06/2014
Last updated
08/06/2014
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