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EVAN GARRETT COPELAND

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1366082000
Provider Type
Individual Provider (NPI-1)
Status
Active

Contact & Location

Address
2707 PINE ST, SAN FRANCISCO, CA, 941152522
Phone
(415) 563-7600

Specialties & Taxonomies

Physical Therapy Assistant License: CA #p
Physical Therapy Assistant Primary License: CA #PTA48426

All Addresses

MAILING

4560 SE INTERNATIONAL WAY

MILWAUKIE, OR, 972224628

LOCATION

2707 PINE ST

SAN FRANCISCO, CA, 941152522

(415) 563-7600