Individual
MALIK COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3355 CASCADE RD SW STE 102, ATLANTA, GA 30311-3679
(404) 505-9030
(404) 505-0930
Mailing address
3355 CASCADE RD SW STE 102, ATLANTA, GA 30311-3679
(404) 505-9030
(404) 505-0930
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003468
GA
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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