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Individual
TYLER JAMES COOPER
Active
Individual
TYLER JAMES COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-21-181388
AZ
225100000X
Physical Therapist
Primary
PT-6095
HI
Other
Enumeration date
08/24/2021
Last updated
01/29/2025
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