Individual
HEATHER D COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
PO BOX 21, FAYETTEVILLE, WV 25840-0021
(304) 923-8834
Mailing address
9 YELLOW WOOD WAY, BECKLEY, WV 25801-7126
(304) 255-2376
(304) 255-7120
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001132
WV
235Z00000X
Speech-Language Pathologist
Primary
—
WV
Other
Enumeration date
08/30/2005
Last updated
09/12/2024
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