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Individual

MR. JAMES MICHAEL COOLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
(765) 448-3898
Mailing address
80 PROFESSIONAL CT, LAFAYETTE, IN 47905-5152
(765) 448-1758
(765) 448-3898

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05003869A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200224440
IN
Enumeration date
10/10/2007
Last updated
11/22/2010
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