VICKIE LEE COOPER

WAUKESHA, WI
NPI1487755500
Former NameVICKIE LEE EGAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WI  324-019)
Enumeration Date2006-09-25
Last Update Date2007-07-08
Business Address
-- VICKIE LEE COOPER P.T.A.
2607 N GRANDVIEW BLVD SUITE 125
WAUKESHA, WI 53188-1686
Phone number: 262-548-0544
Mailing Address
-- VICKIE LEE COOPER P.T.A.
414 NORTHVIEW TRL
HARTFORD, WI 53027-1992
Phone number: 262-670-8335
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