Individual
MAGGIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1175 BEVERLY PIKE, ELKINS, WV 26241-9759
(304) 637-7459
Mailing address
304 GRANT ST, ELKINS, WV 26241-3321
(304) 637-6858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2149
WV
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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