Individual
MISS REBECCA L COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4023 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2608
(360) 431-7296
Mailing address
4023 FAUNTLEROY WAY SW, SEATTLE, WA 98126-2608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
WA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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