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1073581054
TRAVIS R COOPER
OPELIKA, AL
NPI
1073581054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AL PTA1442)
Enumeration Date
2006-03-08
Last Update Date
2019-06-28
Business Address
Mr. TRAVIS R COOPER LPTA
2125 EXECUTIVE PARK DR
OPELIKA, AL 36801-6041
Phone number: 334-741-4041
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Mailing Address
Mr. TRAVIS R COOPER LPTA
2125 EXECUTIVE PARK DR
OPELIKA, AL 36801-6041
Phone number: 334-741-4041
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