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MR. JAMES LEROY COPELAND BSED

>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1770879009

Individual Registrant:
MR. JAMES LEROY COPELAND BSED
Gender: M
Sole Proprietor

Location and contact information for practice:
5625 TAYLOR RD  RIVER OAKS, TX 76114-3328 US
Tel: 817-991-6429  Fax: --

Contact information for business:
5625 TAYLOR RD  RIVER OAKS, TX 76114-3328 US
Tel: 817-991-6429  Fax: --

Registration Information:
NPI: 1770879009
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Developmental Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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