Individual
ERICA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
248 WISTERIA LN, EL CAMPO, TX 77437-2545
(979) 648-2628
Mailing address
2507 SUE ST, EL CAMPO, TX 77437-2106
(832) 264-7343
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2084273
TX
Other
Enumeration date
04/25/2017
Last updated
04/25/2017
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