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Individual

CATHERINE C KOPKO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
82013 DR CARREON BLVD, SUITE I, INDIO, CA 92201-4832
(760) 347-6195
(760) 347-2849
Mailing address
1106 WALNUT ST, SUITE 110, SAN LUIS OBISPO, CA 93401-2416
(805) 788-0805
(805) 788-0845

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40073
CA

Other

Enumeration date
04/16/2013
Last updated
04/16/2013
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