Individual
BETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
511 GOFFLE RD STE 203, WYCKOFF, NJ 07481-2926
(201) 899-1166
Mailing address
25 SURREY LN, BERGENFIELD, NJ 07621-3354
(516) 404-0927
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA02243900
NJ
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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