Individual
MIEKE LINNAE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 S CALUMET RD STE 3, CHESTERTON, IN 46304-3286
(219) 983-9675
(219) 983-9675
Mailing address
555 BOND AVE, VALPARAISO, IN 46385-4232
(303) 918-7287
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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