Individual
BENEDICT JOSEPH COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2225 RIVERSIDE DR, MOUNT VERNON, WA 98273-5403
(360) 424-6226
(360) 424-0220
Mailing address
31459 BARBEN RD, SEDRO WOOLLEY, WA 98284-9160
(360) 826-4827
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010559
WA
225100000X
Physical Therapist
PT21736
CA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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