Dale Cooper
Dale Cooper is a Physical Therapy Assistant in Madison, Mississippi. Licensed in North Carolina. Registered with an NPI since 2014.
- Licensed in
- NC
- In the registry since
- 2014
Practice location Address checks out
28 Peachtree LnMadison, MS 39110-7452
Phone: (800) 330-7711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence PTA5588 (NC) |
|---|
Record details
| NPI number | 1023417771 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 19, 2014 |
| Last updated in NPPES | August 19, 2014 |
| Mailing address | 28 Peachtree Ln, Madison, MS 39110-7452 |
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