Individual
BRUCE P COPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 CAMPUS DRIVE, HANCOCK, MI 49930
(906) 483-1888
Mailing address
25530 LOWER ST, CALUMET, MI 49913-1261
(906) 483-1488
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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