Individual
MRS. SAMANTHA DAWN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1650 AUBURN SCHOOL DR, RINER, VA 24149-1103
(540) 292-2090
Mailing address
1650 AUBURN SCHOOL DR, RINER, VA 24149-1103
(540) 292-2090
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002168
VA
Other
Enumeration date
04/09/2015
Last updated
12/30/2015
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