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1023377538
KELLY L COOPER
ALEXANDRIA, VA
NPI
1023377538
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305207085)
Enumeration Date
2012-05-04
Last Update Date
2015-09-17
Business Address
-- KELLY L COOPER PT
4660 KENMORE AVE SUITE 420
ALEXANDRIA, VA 22304-1313
Phone number: 703-751-1008
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Mailing Address
-- KELLY L COOPER PT
5252 LYNGATE CT STE 203
BURKE, VA 22015-1672
Phone number: 703-239-2300
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