Individual
THERESA MAY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4735 W RANGER RD, PERRINTON, MI 48871-9775
(989) 236-3599
(989) 236-7672
Mailing address
14922 GLASTONBURY DR, GOWEN, MI 49326-9459
(616) 302-9035
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202005782
MI
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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