Individual
MR. JAMES ROBERT COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
305 PEARCY AVE, BRIDGEPORT, WV 26330-1107
(304) 476-1021
Mailing address
305 PEARCY AVE, BRIDGEPORT, WV 26330-1107
(304) 476-1021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001018
WV
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
11/07/2024
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