MARY KOPACKI

BROWNS SUMMIT, NC
NPI1962852970
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171W00000X Contractor
(Licence: NC  LAT1595)
Additional Taxonomies171W00000X Contractor
(Licence: FL  AL1739)
Enumeration Date2016-06-21
Last Update Date2016-06-21
Business Address
-- MARY KOPACKI MS, LAT, ATC, PTA
7 CRAPE MYRTLE CIR
BROWNS SUMMIT, NC 27214-9460
Phone number: 561-596-2870
Mailing Address
-- MARY KOPACKI MS, LAT, ATC, PTA
7 CRAPE MYRTLE CIR
BROWNS SUMMIT, NC 27214-9460
Phone number: 561-596-2870