NPI 1023417771

Dale Cooper

Practitioner Physical Therapy Assistant Madison, MS

Practice location

Address: 28 Peachtree Ln, Madison, MS 39110-7452
Phone: (800) 330-7711

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence PTA5588 (NC)

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Registry record

NPI: 1023417771
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Aug 2014
Record last updated: 19 Aug 2014

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.