Individual
AMY NICOLE COOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2216 N RILEY HWY, SHELBYVILLE, IN 46176-9311
(317) 392-3370
Mailing address
2216 N RILEY HWY, SHELBYVILLE, IN 46176-9311
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06005436A
IN
225200000X
Physical Therapy Assistant
AT10528
CA
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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