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Individual

CLINT COPELAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
77 NEALY AVE, HAMPTON, VA 23665-2040
(757) 225-9676
Mailing address
307 BOATNER RD STE 114, EGLIN AFB, FL 32542-1302

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
34348
FL
2251X0800X
Orthopedic Physical Therapist

Other

Enumeration date
04/19/2019
Last updated
05/13/2024
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