Individual
BETH MEHNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
(254) 754-0504
Mailing address
PO BOX 5367, WACO, TX 76708-0367
(254) 715-3630
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
TX
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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