MR. Glen Lawrence Cooper, ATC
NPI #1891771887 in Harrison City, Pennsylvania
Provider Information
- NPI Number
- 1891771887
- Entity Type
- Individual
- Name
- MR. Glen Lawrence Cooper, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist
- Credential
- ATC
- Enumeration Date
- Dec 21, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- BOX 530, ROUTE 130
- City
- Harrison City
- State
- Pennsylvania
- ZIP Code
- 15636
- Phone
- (724) 744-4471
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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