Individual
MISS AMY ELAINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4343 LEBANON PIKE, HERMITAGE, TN 37076-1221
(615) 871-8131
Mailing address
1619 EAGLE TRACE DR, MOUNT JULIET, TN 37122-7428
(615) 773-5179
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
870
TN
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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