Individual
DOMONIQUE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 S WALNUT ST, WEST CHESTER, PA 19382-3475
(267) 622-5340
Mailing address
221 S WALNUT ST, WEST CHESTER, PA 19382-3475
(267) 622-5340
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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