Individual
KELLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 NORTH ELM STREET, GREENSBORO, NC 27408
(336) 545-3444
Mailing address
3200 NORTH ELM STREET, GREENSBORO, NC 27408
(336) 545-3444
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4513
NC
Other
Enumeration date
01/08/2015
Last updated
01/08/2015
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