Individual
CRAIG COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1033 TYSON AVE, ROSLYN, PA 19001-4312
(215) 370-2433
Mailing address
1033 TYSON AVE, ROSLYN, PA 19001-4312
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TEI00293
PA
Other
Enumeration date
05/23/2017
Last updated
05/23/2017
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