Individual
MISS CALLISA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4300 SONOMA BLVD, VALLEJO, CA 94589-2200
(707) 645-2720
Mailing address
999 MARSHALL RD APT 2, VACAVILLE, CA 95687-5756
(443) 756-1210
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT41487
CA
Other
Enumeration date
11/18/2013
Last updated
12/01/2021
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