Most Relevant Information
Provider Data
| NPI Number: | 1205838331 |
| Provider Name: | CAROL COPELAND DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 1258 |
Most Important Dates
| Enumeration Date: | 06/01/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
575 N SIOUX POINT RD
DAKOTA DUNES
SD
570495312
Practice Location Phone/Fax
| Phone: | 6052172615 |
| Fax: | 6052172915 |
Provider Mailing Location
575 N SIOUX POINT RD
DAKOTA DUNES
SD
570495312
Provider Mailing Phone/Fax
| Phone: | 6052172615 |
| Fax: | 6052172915 |