Whalio Doctors

NPI 1013271402

Crystal Cooper, PTA

Practitioner Physical Therapy Assistant Tallahassee, FL

Practice location

Address
3101 Ginger Dr, Tallahassee, FL 32308-4437
Phone
(850) 877-2177
Mailing address
1640 Corey Wood Cir, Tallahassee, FL 32304-3763

Registered specialties

Physical Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA 20522 (FL)

Registry record

NPI
1013271402
Entity type
Individual
Sex (as registered)
Female
NPI issued
29 Jun 2012
Record last updated
29 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.