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1083676423
CHAD COPELAND
VIENNA, WV
NPI
1083676423
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 002015)
Enumeration Date
2006-04-03
Last Update Date
2008-03-25
Business Address
Mr. CHAD COPELAND MPT
1158 46TH ST
VIENNA, WV 26105-9409
Phone number: 304-295-3131
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Mailing Address
Mr. CHAD COPELAND MPT
1 LAWNSDALE VW
VIENNA, WV 26105-1559
Phone number: 304-295-5195
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