Individual
JEFFREY MICHAEL KOPACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
297 PASSAIC AVE, UNIT 3, FAIRFIELD, NJ 07004-2503
(973) 227-4280
(973) 227-4210
Mailing address
297 PASSAIC AVE, UNIT 3, FAIRFIELD, NJ 07004-2503
(973) 227-4280
(973) 227-4210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01573400
NJ
Other
Enumeration date
09/10/2014
Last updated
07/02/2025
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