Individual
KEITH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
900 CUMMINGS CTR STE 130S, BEVERLY, MA 01915-6183
(978) 524-7827
(978) 524-7828
Mailing address
576 BROADHOLLOW RD, MELVILLE, NY 11747-5002
(631) 359-5859
(631) 396-0864
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3916
NH
Other
Enumeration date
08/19/2014
Last updated
10/01/2019
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