Individual
MICHELINA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 226-5180
Mailing address
447 JULIA ANN DR, ATOKA, TN 38004-2799
(901) 255-2717
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
4379
TN
Other
Enumeration date
04/06/2016
Last updated
04/06/2016
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