Individual
BERNICE LINETH EBANKS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 50TH ST, HIALEAH, FL 33012-3440
(305) 231-3371
Mailing address
11618 SW 244TH ST, HOMESTEAD, FL 33032-4046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
41382
FL
Other
Enumeration date
07/24/2018
Last updated
01/14/2025
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