Individual
BREA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, PTA
Contact information
Practice address
2420 COIT AVE NE, GRAND RAPIDS, MI 49505-4001
(616) 604-0451
Mailing address
938 N BOSSETT RD, RAVENNA, MI 49451-9545
(231) 286-9616
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001804
MI
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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