Provider Demographics
NPI:1659415982
Name:COPELAND, CLAIRE MORGAN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CLAIRE
Middle Name:MORGAN
Last Name:COPELAND
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 HUNTINGTON ST NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33703-6037
Mailing Address - Country:US
Mailing Address - Phone:727-525-2040
Mailing Address - Fax:
Practice Address - Street 1:3801 HUNTINGTON ST NE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33703-6037
Practice Address - Country:US
Practice Address - Phone:727-525-2040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7471225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics