Doctor Name: | MICHAEL WILLIAM KOPACKO |
NPI Number: | 1013220466 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT020600 |
Business Practice Address: | 1122 7th Ave Suite C Beaver Falls, PA - 150104480 |
Business Phone Number: | 7248437930 |
Business Fax Number: | |
Mailing Address: | 724 Lincoln Highlands Dr, CORAOPOLIS |
State: | PA |
Postal Code: | 151087734 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/14/2010 |
NPI Last Update Date: | 07/14/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT020600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |