Individual
THERESA ANNETTE COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3170 WILLOWCREEK RD, PORTAGE, IN 46368-4424
(219) 286-3890
(219) 286-3891
Mailing address
8259 WICKER AVE, SAINT JOHN, IN 46373-8878
(219) 365-6560
(219) 365-6561
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IN
Other
Enumeration date
09/01/2017
Last updated
09/01/2017
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