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Search › Washington › 103TC1900X

Terry Copeland, PHD

NPI 1578587432 · on the registry since 2006 · sole proprietor

Practice

Address
6912 220th St Sw
Suite 113
Mountlake Terrace, WA 98043
Phone
(425) 361-7670
Fax
(425) 967-5572
Organisation at this address
The Camelot Society
The Camelot Society
Pacific Sports Rehab, Pllc
Pacific Sports Rehab, Pllc
Gentiva Health Services (Usa), Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
27

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Also registered as
103T00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington