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Individual

MS. KATHLEEN ANN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
38398 HUMPHREY CIR, NORTH RIDGEVILLE, OH 44039-9705
(216) 210-5860
Mailing address
38398 HUMPHREY CIR, NORTH RIDGEVILLE, OH 44039-9705
(216) 210-5860

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
9586A
AZ
225200000X
Physical Therapy Assistant
Primary
PTA06949
OH

Other

Enumeration date
12/04/2011
Last updated
12/04/2011
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