Individual
JENNIFER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
225 CUSTERS RIDGE RD, BOONES MILL, VA 24065-3694
(540) 985-0500
(540) 985-0529
Mailing address
225 CUSTERS RIDGE RD, BOONES MILL, VA 24065-3694
(540) 985-0500
(540) 985-0529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602945
VA
Other
Enumeration date
09/22/2014
Last updated
09/22/2014
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