Individual
COOPER COLLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
17100 N 67TH AVE BLDG 100, GLENDALE, AZ 85308-3612
(623) 979-2747
Mailing address
17100 N 67TH AVE BLDG 100, GLENDALE, AZ 85308-3612
(623) 979-2747
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
LPT-32618
AZ
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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