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Individual

AMY L COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
3180 NORTH BUTLER AVE., BLDG. 300, FARMINGTON, NM 87401
(505) 326-2460
(505) 325-1943
Mailing address
255 ELK RIDGE RD, DURANGO, CO 81301-8972
(970) 946-9380

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2930
NM
225100000X
Physical Therapist
8249
CO

Other

Enumeration date
04/06/2006
Last updated
07/08/2007
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