Individual
TYLER J COOPERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4237 RIVER HILLS DR STE 120, LITTLE RIVER, SC 29566-6444
(843) 249-5616
(843) 249-1843
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
(517) 435-3670
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10472
SC
Other
Enumeration date
11/16/2020
Last updated
11/16/2020
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