Individual
ASHLEY DENISE KOPSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, ATC
Contact information
Practice address
1935 W MAIN ST, SALEM, VA 24153
(540) 302-0190
(540) 302-0191
Mailing address
1935 W MAIN ST, SALEM, VA 24153-3109
(540) 302-0190
(540) 302-0191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305211888
VA
2255A2300X
Athletic Trainer
0126002269
VA
Other
Enumeration date
12/11/2018
Last updated
05/03/2019
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