Individual
SUSAN J MCCOPPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
190 OLIVERA LN, SIERRA MADRE, CA 91024-2107
(626) 355-2871
Mailing address
190 OLIVERA LN, SIERRA MADRE, CA 91024-2107
(626) 355-2871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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