DALE COOPER

MADISON, MS
NPI1023417771
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  PTA5588)
Enumeration Date2014-08-19
Last Update Date2014-08-19
Business Address
DALE COOPER
28 PEACHTREE LN
MADISON, MS 39110-7452
Phone number: 800-330-7711
Mailing Address
DALE COOPER
28 PEACHTREE LN
MADISON, MS 39110-7452
Phone number:
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