Individual
BRAD A COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 STATE ROUTE 35, RED BANK, NJ 07701
(732) 224-9355
Mailing address
PO BOX 1014, CLARK, NJ 07066-1014
(732) 855-9751
(732) 855-9755
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00469500
NJ
Other
Enumeration date
11/20/2006
Last updated
03/02/2020
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