Individual
DENISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 CENTRAL AVE, SUITE 203, PHILADELPHIA, PA 19111-2430
(215) 289-4434
(215) 289-7442
Mailing address
7500 CENTRAL AVE, SUITE 203, PHILADELPHIA, PA 19111-2430
(215) 289-4434
(215) 289-7442
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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