Individual
RENEA JOHNSON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.T.A
Contact information
Practice address
1220 W GRETNA RD, GRETNA, VA 24557-4087
(434) 656-8535
Mailing address
385 THISTLE RD, RUSTBURG, VA 24588-4558
(434) 332-4998
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306001592
VA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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