Kennedy Lake Cooper, PTA

NPI #1588343941 in Melbourne, Arkansas

Provider Information

NPI Number
1588343941
Entity Type
Individual
Name
Kennedy Lake Cooper, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
Jul 13, 2023
Last Updated
Jul 13, 2023

Practice Location

Address
31 SCHOOL DR
ZIP Code
72556-8620
Phone
(870) 916-2269

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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