Individual
JUSTIN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
505 S ASPEN AVE, BROKEN ARROW, OK 74012-2296
(918) 994-5333
(918) 994-5334
Mailing address
6585 S YALE AVE, STE 200, TULSA, OK 74136-8384
(918) 481-2767
(918) 481-7611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4311
OK
Other
Enumeration date
07/16/2010
Last updated
12/12/2011
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