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Individual

MR. MICHAEL JAY COOPERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
12717 S 28TH AVE, BELLEVUE, NE 68123-3232
(402) 871-4089
Mailing address
1605 LEONA CIR, BELLEVUE, NE 68123-6806
(402) 932-0712

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2183
NE

Other

Enumeration date
06/30/2010
Last updated
06/30/2010
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