Individual
MRS. LAURA CHRISTINE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT CSCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3741
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
295473
—
OR
01
—
P01617907
RR MEDICARE
OR
Enumeration date
11/25/2005
Last updated
04/18/2016
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