-- DALE COOPER --
Individual Provider (NPI-1)
Active
Physical Therapy Assistant
Provider Information
- NPI Number
1023417771- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 28 PEACHTREE LN, MADISON, MS, 391107452
- Phone
- (800) 330-7711
Specialties & Taxonomies
Physical Therapy Assistant
Primary License: NC #PTA5588
All Addresses
MAILING
28 PEACHTREE LN
MADISON, MS, 391107452