Most Relevant Information
Provider Data
NPI Number: | 1003534538 |
Provider Name: | DEREK M KOPANIC |
Entity Type: | Individual |
Taxonomy Code: | 225100000X |
Specialty: | Physical Therapist |
License Number: | PT020106 |
Most Important Dates
Enumeration Date: | 08/19/2022 |
Last Updated: | 08/19/2022 |
Provider Practice Location
7171 KECK PARK CIR NW
NORTH CANTON
OH
447206301
Practice Location Phone/Fax
Phone: | 3304985222 |
Fax: |
Provider Mailing Location
7171 KECK PARK CIR NW
NORTH CANTON
OH
447206301
Provider Mailing Phone/Fax
Phone: | |
Fax: |