Individual
TANYA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 COVINGTON RIDGE PL, COLLINS, MS 39428-3890
(601) 765-6133
(866) 404-9501
Mailing address
5703 GULF TECH DR, OCEAN SPRINGS, MS 39564-8238
(228) 875-5447
(866) 404-9501
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3010
MS
Other
Enumeration date
05/17/2007
Last updated
06/16/2023
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