Individual
TERESA A COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
310 S HILLSIDE ST, WICHITA, KS 67211-2129
(316) 684-3326
(316) 684-3326
Mailing address
818 N EMPORIA ST STE 200, WICHITA, KS 67214-3726
(316) 684-2838
(316) 684-3326
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
317
KS
Other
Enumeration date
12/05/2017
Last updated
03/17/2018
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