Individual
MICHAEL A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
789 PINE ST, BURLINGTON, VT 05401-4933
(802) 264-1052
(802) 264-1053
Mailing address
209 MARSETT RD, SHELBURNE, VT 05482-6637
(515) 571-7577
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0112339
VT
Other
Enumeration date
08/06/2015
Last updated
08/07/2015
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