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Individual
GRETCHEN LEANNE COOPER
Active
Individual
GRETCHEN LEANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1073765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
063257201
—
TX
05
—
063257202
—
TX
01
—
8T5471
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/31/2007
Last updated
01/28/2026
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