Individual
SHANNON R ZERDECKI KOPCZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 MARAUDER BLVD, NEW YORK MILLS, NY 13417-1566
(315) 768-8129
Mailing address
PO BOX 381, NEW HARTFORD, NY 13413-0381
(315) 732-6911
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
019482-1
NY
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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