Individual
CHRISTINE COPELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12776 CLEVELAND AVE, BUCHANAN, MI 49107-9339
(269) 757-2267
Mailing address
12776 CLEVELAND AVE, BUCHANAN, MI 49107-9339
(269) 757-2267
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05007571A
IN
Other
Enumeration date
04/22/2016
Last updated
04/22/2016
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