Mary Kopacki, MS, LAT, ATC, PTA

NPI #1962852970 in Browns Summit, North Carolina

Provider Information

NPI Number
1962852970
Entity Type
Individual
Name
Mary Kopacki, MS, LAT, ATC, PTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
MS, LAT, ATC, PTA
Enumeration Date
Jun 21, 2016
Last Updated
Jun 21, 2016

Practice Location

Address
7 CRAPE MYRTLE CIR
ZIP Code
27214-9460
Phone
(561) 596-2870

Specialties & Taxonomy Codes

Specialty
Contractor

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