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Individual
JUSTIN COOPER
Active
Individual
JUSTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21006
MD
225100000X
Physical Therapist
CP053274T
VA
Other
Enumeration date
12/18/2006
Last updated
03/18/2026
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