Individual
MR. BRIAN H KOPICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
925 CHESTNUT ST, 5TH FLOOR, PHILADELPHIA, PA 19107-4216
(800) 419-8093
(215) 503-0540
Mailing address
120 W GERMANTOWN PIKE, SUITE 100, PLYMOUTH MEETING, PA 19462-1420
(610) 270-0370
(610) 270-0374
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT022482
PA
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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