Individual
NICOLE HEATHER KOPPENHAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
414 ROBINHOOD PL, SAN ANTONIO, TX 78209-3426
(210) 842-4456
Mailing address
414 ROBINHOOD PL, SAN ANTONIO, TX 78209-3426
(210) 842-4456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1190051
TX
225100000X
Physical Therapist
6287043-2401
UT
2251N0400X
Neurology Physical Therapist
Primary
1190051
TX
Other
Enumeration date
10/19/2006
Last updated
07/15/2011
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