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Individual

COOPER CORLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DR

Contact information

Practice address
48 TARN TER, FROSTBURG, MD 21532-1242
(301) 689-1391
Mailing address
57 JACKSON ST, LONACONING, MD 21539-1307

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004007
WV
225100000X
Physical Therapist
Primary
27326
MD

Other

Enumeration date
01/12/2024
Last updated
01/12/2024
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