Individual
MR. JEFFREY STEPHEN COOPER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS ATC
Contact information
Practice address
1 CITIZENS BANK WAY, PHILADELPHIA, PA 19148-5205
(121) 521-8527
(121) 546-2522
Mailing address
2512 EATON RD, WILMINGTON, DE 19810-3504
(302) 477-0147
(302) 477-0147
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT000099A
PA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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