Individual
GABRIELLA COPPERSMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11661 GRANADA ST, LEAWOOD, KS 66211-1473
(913) 906-0200
Mailing address
13830 RUSSELL ST APT 1136, OVERLAND PARK, KS 66223-7929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/26/2020
Last updated
07/12/2022
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