Individual
MATT ALAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 HIGHWAY 62 412 # 101, HIGHLAND, AR 72542-9497
(870) 955-1020
Mailing address
1507 MERRYWOOD DR, JONESBORO, AR 72401-5108
(870) 623-1531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12669
TN
Other
Enumeration date
12/04/2019
Last updated
10/25/2023
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