Individual
MRS. TRACIE COPLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
11117 LAMBS LN, NEWARK, OH 43055-9779
(740) 763-0408
Mailing address
133 GRANVILLE ST, PATASKALA, OH 43062-8229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA.04197
OH
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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