Individual
MS. PATRICIA DIANE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
192 OAK GROVE DR, BRANDON, MS 39047-6805
(601) 502-3544
Mailing address
533B KEYWAY DR, FLOWOOD, MS 39232-8809
(601) 420-0717
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4910
AL
Other
Enumeration date
06/30/2017
Last updated
06/16/2018
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