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NPI Code Detail

MEDICARE: DR. ABIGAIL MARIE COPA DPT

MEDICARE: DR. ABIGAIL MARIE COPA DPT
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 TherapistPT019575OH

General Provider Information

NPI Number : 1497400824
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIGAIL MARIE COPA DPT
Provider Business Mailing Address
First Line : 20852 PARKWOOD LN
Second Line :
City : STRONGSVILLE
State : OH
Zip : 44149-5832
Country : US
Telephone Number : 440-596-2331
Fax Number :
Provider Business Practice Location Address
First Line : 7390 OLD OAK BLVD
Second Line :
City : MIDDLEBURG HEIGHTS
State : OH
Zip : 44130-3328
Country : US
Telephone Number : 440-816-4202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2022
Last Update Date : 03/08/2023

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