Individual
JERAME JOSEPH KOPKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
449 QUARTER ST, GLADWIN, MI 48624-1918
(989) 246-6302
Mailing address
4212 CONCORD ST, MIDLAND, MI 48642-3517
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201007115
MI
Other
Enumeration date
08/12/2009
Last updated
08/12/2009
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