Individual
MISS KELLI NICOLE COPPINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
Mailing address
1201 34TH ST, SAN DIEGO, CA 92102-2416
(619) 232-2946
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
48041
CA
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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