Adrianne Copelan, PTA

Individual provider Active NPI Physical Therapy Assistant · Greensboro, GA

NPI 1487081287 · NPPES record last updated Oct 11, 2013

Key facts

NPI
1487081287
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
PTA002299 (GA)
Practice address
1201 Siloam Rd
Greensboro, GA 30642-2811
Phone
(706) 453-5088
NPI assigned
Oct 11, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PTA002299GAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA002299 GA Yes

Addresses

Primary practice location

1201 Siloam Rd
Greensboro, GA 30642-2811

Mailing address

3222 Lake Oconee Pkwy
Greensboro, GA 30642-3338
Phone (706) 453-5088

Other providers in Greensboro, GA

All providers in Greensboro, GA · Physical Therapy Assistant in Georgia

Sources for this page

Verify at the official NPI Registry.