RAPHAEL COPELAND

CHICAGO, IL
NPI1437578622
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160006704)
Enumeration Date2014-04-15
Last Update Date2024-10-25
Business Address
RAPHAEL COPELAND PTA
2320 E 93RD ST
CHICAGO, IL 60617-3909
Phone number: 773-967-5221
Mailing Address
RAPHAEL COPELAND PTA
2320 E 93RD ST
CHICAGO, IL 60617-3909
Phone number: 773-967-5221
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