Individual
MISS TONYA GAIL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
211 CAMPUS LN, KNOXVILLE, TN 37918-3202
(865) 712-2522
Mailing address
428 E SCOTT AVE, KNOXVILLE, TN 37917-6362
(865) 318-1745
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA0000004876
TN
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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