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Peggy S Cooper, PTA

Physical Therapy Assistant in Evansville, IN. Individual provider (NPI-1).

NPI number1124282249
StatusActive
Last updated in NPPESJul 17, 2008

Details

NPI
1124282249
Entity type
Individual (NPI-1)
Name
Peggy S Cooper
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 17, 2008
Last updated
Jul 17, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant06001791AINYes

Practice location

601 N Boeke Rd
Evansville, IN 47711-5925

Phone 812-477-1908

Mailing address

7112 S 1825 W
Griffin, IN 47616-9306

Phone 812-306-6682

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