MRS. Tara Dene Copeland, PT, DPT

NPI #1336445600 in Longview, Texas

Provider Information

NPI Number: 1336445600
Entity Type: Individual
Name: MRS. Tara Dene Copeland, PT, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT
Enumeration Date: Feb 4, 2011
Last Updated: Feb 4, 2011

Practice Location

Address: 611 E HAWKINS PKWY
City: Longview
State: Texas
ZIP Code: 75605-7977
Phone: (903) 323-6580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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