Jacqueline Kopack, PT

NPI #1679094767 in Paoli, Pennsylvania

Provider Information

NPI Number: 1679094767
Entity Type: Individual
Name: Jacqueline Kopack, PT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Jun 29, 2017
Last Updated: Jun 29, 2017

Practice Location

Address: 600 PAOLI POINTE DR
City: Paoli
State: Pennsylvania
ZIP Code: 19301-2104
Phone: (610) 296-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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