NPI 1386246296

Tyler J Cooperman

Practitioner Physical Therapist Little River, SC

Practice location

Address: 4237 River Hills Dr STE 120, Little River, SC 29566-6444
Phone: (843) 249-5616
Fax: (843) 249-1843
Mailing address: 790 Remington Blvd, Bolingbrook, IL 60440-4909

Registered specialties

Physical Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 10472 (SC)

Other Physical Therapist providers in South Carolina →

Registry record

NPI: 1386246296
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Nov 2020
Record last updated: 16 Nov 2020

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.