Cooper Clinic PA

NPI #1588117519 in Fort Smith, Arkansas

Provider Information

NPI Number: 1588117519
Entity Type: Organization
Organization Name: Cooper Clinic PA
Primary Specialty: Physical Therapist
Enumeration Date: Jul 26, 2016
Last Updated: Jul 26, 2016

Practice Location

Address: 6801 ROGERS AVE
City: Fort Smith
State: Arkansas
ZIP Code: 72903-4067
Phone: (479) 274-2110

Authorized Official

Name: MRS. GAYLA DENISE PAUL
Title: CREDENTIALING & CONTRACT MANAGER
Phone: (479) 274-2004

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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