Individual
EMILY ELIZABETH COPPEDGE KOLAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1325 SAN MARCO BLVD STE 102, JACKSONVILLE, FL 32207-8549
(904) 858-7045
(904) 858-7047
Mailing address
PO BOX 117345, ATLANTA, GA 30368-7345
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT34367
FL
Other
Enumeration date
02/20/2019
Last updated
12/08/2020
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