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MR. JAMES LEROY COPELAND BSED
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1770879009
Individual Registrant:MR. JAMES LEROY COPELAND BSED
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5625 TAYLOR RD RIVER OAKS, TX 76114-3328 US
Tel: 817-991-6429 Fax: --
Tel: 817-991-6429 Fax: --
Contact information for business:
5625 TAYLOR RD RIVER OAKS, TX 76114-3328 US
Tel: 817-991-6429 Fax: --
Tel: 817-991-6429 Fax: --
Registration Information:
NPI: 1770879009
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
