Doctor Name: | MR. KEVIN N KOPACK |
NPI Number: | 1003967381 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | NJQA03353 |
Business Practice Address: | 271 Us Highway 46 Suite G106 - Fairfield Commons Fairfield, NJ - 070042440 |
Business Phone Number: | 9732761313 |
Business Fax Number: | |
Mailing Address: | 33 Cupsaw Ave, RINGWOOD |
State: | NJ |
Postal Code: | 074562919 |
Phone Number: | 9739626568 |
Fax Number: | |
NPI Enumeration Date: | 01/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | NJQA03353 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |