Tina Wynn Cooper
NPI #1477215457 in Moore, South Carolina
Provider Information
- NPI Number
- 1477215457
- Entity Type
- Individual
- Name
- Tina Wynn Cooper
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Oct 7, 2021
- Last Updated
- Oct 7, 2021
Practice Location
- Address
- 243 REXFORD DR
- City
- Moore
- State
- South Carolina
- ZIP Code
- 29369-9477
- Phone
- (864) 580-1327
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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