Individual
KITRINA ROBERTS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2150 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-8472
(928) 763-8700
Mailing address
807 LAKELAND DR, LAKE HAVASU CITY, AZ 86403-3759
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9544APTA
AZ
Other
Enumeration date
06/12/2013
Last updated
06/12/2013
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