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Individual

JAMIE KAY KOPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3362 FOREST LN, DALLAS, TX 75234-7796
(972) 488-1300
(972) 488-1301
Mailing address
1105 CHRISTOPHER LN, LEWISVILLE, TX 75077-2547
(214) 213-3911

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2008926
TX

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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