Individual
MR. TRAVIS R COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 741-4041
(334) 741-0065
Mailing address
2125 EXECUTIVE PARK DR, OPELIKA, AL 36801-6041
(334) 741-4041
(334) 741-0065
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1442
AL
Other
Enumeration date
03/08/2006
Last updated
06/28/2019
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