Individual
COURTNEY GENE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
726 ST. CLAIR AVE, COLLINSVILLE, IL 62234-2009
(618) 980-5729
Mailing address
726 SAINT CLAIR AVE, COLLINSVILLE, IL 62234-2009
(618) 980-5729
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070020538
IL
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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