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1487303970
BREA COOPER
GRAND RAPIDS, MI
NPI
1487303970
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502001804)
Enumeration Date
2022-03-22
Last Update Date
2022-03-22
Business Address
BREA COOPER BS, PTA
2420 COIT AVE NE
GRAND RAPIDS, MI 49505-4001
Phone number: 616-604-0451
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Mailing Address
BREA COOPER BS, PTA
938 N BOSSETT RD
RAVENNA, MI 49451-9545
Phone number: 231-286-9616
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