Individual
CRYSTAL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3101 GINGER DR, TALLAHASSEE, FL 32308-4437
(850) 877-2177
Mailing address
1640 COREY WOOD CIR, TALLAHASSEE, FL 32304-3763
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 20522
FL
Other
Enumeration date
06/29/2012
Last updated
06/29/2012
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