Old Dominion University

NPI #1871929729 in Norfolk, Virginia

Provider Information

NPI Number: 1871929729
Entity Type: Organization
Organization Name: Old Dominion University
Subpart: Yes (part of a larger organization)
Parent Organization: OLD DOMINION UNIVERSITY
Primary Specialty: Physical Therapist
Enumeration Date: Sep 24, 2013
Last Updated: Sep 2, 2025

Practice Location

Address: 1019 W 41ST ST
City: Norfolk
State: Virginia
ZIP Code: 23529-0001
Phone: (757) 683-7041

Authorized Official

Name: LISA R KOPERNA, DPT
Title: CLINIC DIRECTOR
Phone: (757) 683-7041

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Occupational Therapist	225X00000X
Speech-Language Pathologist	235Z00000X
Physical Therapist	225100000X	Primary

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