Individual
ANNALIESE VIRGINIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
26 PINE DR, TERRA ALTA, WV 26764-2638
(304) 943-9570
Mailing address
26 PINE DR, TERRA ALTA, WV 26764-2638
(304) 943-9570
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
WV
Other
Enumeration date
03/06/2026
Last updated
03/06/2026
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