Individual
HEATHER A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
4518 STONE MILL DR, INDIANAPOLIS, IN 46237-2552
(317) 788-1869
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27046560A
IN
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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