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Clint Copeland, DPT

Physical Therapist in Hampton, VA. Individual provider (NPI-1).

NPI number1689237232
StatusActive
Last updated in NPPESMay 13, 2024

Details

NPI
1689237232
Entity type
Individual (NPI-1)
Name
Clint Copeland
Credential
DPT
Sex
Male
Sole proprietor
No
Enumeration date
Apr 19, 2019
Certification date
May 13, 2024
Last updated
May 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist34348FLYes
2251X0800X Physical Therapist, Orthopedic––

Practice location

77 Nealy Ave
Hampton, VA 23665-2040

Phone 757-225-9676

Mailing address

307 Boatner Rd Ste 114
Eglin Afb, FL 32542-1302

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