Individual
MAREA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
170 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 441-8313
Mailing address
170 PINECREST DR, GALLIPOLIS, OH 45631-1347
(740) 441-8313
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
07092
OH
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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