Healthcare Provider Details

I. General information

NPI: 1679887640
Provider Name (Legal Business Name): JOYCE ALICE KOPELMAN OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 09/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10790 REGATTA RIDGE RD
BOYNTON BEACH FL
33473-4975
US

IV. Provider business mailing address

10790 REGATTA RIDGE RD
BOYNTON BEACH FL
33473-4975
US

V. Phone/Fax

Practice location:
  • Phone: 561-509-6884
  • Fax:
Mailing address:
  • Phone: 561-509-6884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License Number3557
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number3557
License Number StateNY
# 3
Primary TaxonomyY
Taxonomy Code225XN1300X
TaxonomyNeurorehabilitation Occupational Therapist
License Number3557
License Number StateNY
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number3557
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: