Individual
MRS. JACKLYN COPPOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
47284 MICHIGAN AVE, CANTON, MI 48188-2582
(734) 418-5237
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 497-0005
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017144
MI
Other
Enumeration date
01/18/2016
Last updated
03/24/2025
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