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Individual

ANNA COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4161 TAMIAMI TRL STE 704, PORT CHARLOTTE, FL 33952-9283
(941) 625-1110
(941) 625-0552
Mailing address
6399 NOTRE DAME TER, NORTH PORT, FL 34291-4583
(941) 625-1110

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTAT28854
FL

Other

Enumeration date
09/26/2018
Last updated
09/26/2018
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