Individual
MATTHEW COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6627 W BROAD ST, RICHMOND, VA 23230-1732
(804) 764-1000
Mailing address
6201 WINNEPEG DR, BURKE, VA 22015-3849
(703) 965-7749
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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