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1013271402
CRYSTAL COOPER
TALLAHASSEE, FL
NPI
1013271402
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTA 20522)
Enumeration Date
2012-06-29
Last Update Date
2012-06-29
Business Address
-- CRYSTAL COOPER PTA
3101 GINGER DR
TALLAHASSEE, FL 32308-4437
Phone number: 850-877-2177
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Mailing Address
-- CRYSTAL COOPER PTA
1640 COREY WOOD CIR
TALLAHASSEE, FL 32304-3763
Phone number:
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