Malik Cooper, PTA
Physical Therapy Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1164084471
StatusActive
Last updated in NPPESJul 8, 2019
Details
- NPI
- 1164084471
- Entity type
- Individual (NPI-1)
- Name
- Malik Cooper
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 8, 2019
- Last updated
- Jul 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA003468 | GA | Yes |
Practice location
3355 Cascade Rd Sw Ste 102Atlanta, GA 30311-3679
Phone 404-505-9030 · Fax 404-505-0930
Mailing address
3355 Cascade Rd Sw Ste 102Atlanta, GA 30311-3679
Phone 404-505-9030 · Fax 404-505-0930
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 93 Physical Therapy Assistant providers in Atlanta · All 39,648 providers in Atlanta
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