Individual
DR. LISA RENEE KOPERNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, ATC
Contact information
Practice address
1015 W 47TH ST, NORFOLK, VA 23529-0001
(757) 683-4228
(757) 683-7050
Mailing address
1015 W 47TH ST, NORFOLK, VA 23529-0001
(757) 683-4228
(757) 683-7050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305004592
VA
2251S0007X
Sports Physical Therapist
2305004592
VA
2255A2300X
Athletic Trainer
0126000619
VA
Other
Enumeration date
03/16/2006
Last updated
05/25/2016
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