Individual
JENNIFER GRACE KOPLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
473 WASHBURN ST, LOCKPORT, NY 14094-4963
(716) 438-2519
Mailing address
473 WASHBURN ST, LOCKPORT, NY 14094-4963
(716) 438-2519
Taxonomy
Speciality
Code
Description
License number
State
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
Primary
009566-1
NY
Other
Enumeration date
06/06/2008
Last updated
06/06/2008
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