Individual
CARLY ELISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8305 FALLS OF NEUSE RD STE 102, RALEIGH, NC 27615-3546
(919) 870-4444
(919) 870-4447
Mailing address
8305 FALLS OF NEUSE RD STE 102, RALEIGH, NC 27615-3546
(919) 870-4444
(919) 870-4447
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P18000
NC
Other
Enumeration date
10/09/2018
Last updated
03/13/2019
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