Individual
CHRISTINA KOPEC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 GENESIS WAY, SEVERNA PARK, MD 21146-1762
(410) 544-4220
(410) 647-9484
Mailing address
406 BONSAL ST, BALTIMORE, MD 21224-2708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A02379
MD
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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