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Individual

MISS AKIRRAH CHRISTINA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC/L

Contact information

Practice address
1004 E 172ND ST # 3, BRONX, NY 10460-5809
(347) 376-6611
Mailing address
1004 E 172ND ST # 3, BRONX, NY 10460-5809
(347) 376-6611

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002052
NY

Other

Enumeration date
10/24/2016
Last updated
10/24/2016
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