Individual
CONSTANCE COOPER MECH
Active
Individual
CONSTANCE COOPER MECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
14182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6902000000J532
BCBS
MD
Enumeration date
03/02/2007
Last updated
07/08/2007
Update your record
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