Individual
CHRISTINE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4238 JAMES MADISON HIGHWAY, FORK UNION, VA 23055
(434) 842-2916
Mailing address
1086 GEORGIA CREEK RD, SCOTTSVILLE, VA 24590-4591
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
2306602029
VA
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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