Leroy Douglass Cooper JR.

NPI #1629532502 in White Oak, Pennsylvania

Provider Information

NPI Number: 1629532502
Entity Type: Individual
Name: Leroy Douglass Cooper JR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 25, 2019
Last Updated: Jan 25, 2019

Practice Location

Address: 2012 CALIFORNIA AVE
City: White Oak
State: Pennsylvania
ZIP Code: 15131-2322
Phone: (724) 518-6635

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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