Individual
DR. JASON COPELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1331 LAKE DR SE STE 105, GRAND RAPIDS, MI 49506-1674
(269) 838-0369
Mailing address
1331 LAKE DR SE SUITE 105, GRAND RAPIDS, MI 49506-1674
(616) 248-9842
(616) 248-9848
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501017279
MI
Other
Enumeration date
08/11/2015
Last updated
08/17/2015
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