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NPI Code Detail

MEDICARE: DEAN COPE

MEDICARE:   DEAN  COPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT1883AR

General Provider Information

NPI Number : 1245634880
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEAN COPE
Provider Business Mailing Address
First Line : 1040 WEDDING FORD RD
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-1914
Country : US
Telephone Number : 501-362-8137
Fax Number :
Provider Business Practice Location Address
First Line : 1040 WEDDING FORD RD
Second Line :
City : HEBER SPRINGS
State : AR
Zip : 72543-1914
Country : US
Telephone Number : 501-362-8137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2014
Last Update Date : 10/10/2014

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Directions to “ DEAN COPE ” Practice Location

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