NPI 1972235752

Courtney Cooper

Practitioner Mastectomy Fitter Winston Salem, NC

Practice location

Address: 2200 Silas Creek Pkwy, Winston Salem, NC 27103-5000
Phone: (336) 760-4333

Registered specialties (2)

Mastectomy Fitter Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224900000X Licence C54085 (NC)

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Orthotic Fitter

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225000000X Licence C54085 (NC)

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Registry record

NPI: 1972235752
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Jun 2022
Record last updated: 29 Jun 2022

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.