Dale Cooper

NPI #1023417771 in Madison, Mississippi

Provider Information

NPI Number: 1023417771
Entity Type: Individual
Name: Dale Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 19, 2014
Last Updated: Aug 19, 2014

Practice Location

Address: 28 PEACHTREE LN
City: Madison
State: Mississippi
ZIP Code: 39110-7452
Phone: (800) 330-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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