Courtney Ann Cooper, PTA

NPI #1346781580 in De Soto, Missouri

Provider Information

NPI Number: 1346781580
Entity Type: Individual
Name: Courtney Ann Cooper, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 20, 2017
Last Updated: Mar 20, 2017

Practice Location

Address: 112 W CLEMENT ST
City: De Soto
State: Missouri
ZIP Code: 63020-2102
Phone: (314) 580-8878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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