Individual provider · Type 1 NPI
Shannon R. Zerdecki Kopcza, PT
Pediatric Physical Therapist · New York Mills, NY
Practice location
1 Marauder Blvd
New York Mills, NY 13417-1566
Mailing address
PO Box 381
New Hartford, NY 13413-0381
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | 019482-1 (NY) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1811207657
Shannon R. Zerdecki Kopcza, PT's National Provider Identifier is 1811207657, issued on Oct 14, 2010. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in New York Mills, NY. The record was last updated on Oct 14, 2010.