Tyler J Cooperman
Physical Therapist in Little River, SC. Individual provider (NPI-1).
NPI number1386246296
StatusActive
Last updated in NPPESNov 16, 2020
Details
- NPI
- 1386246296
- Entity type
- Individual (NPI-1)
- Name
- Tyler J Cooperman
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2020
- Certification date
- Nov 16, 2020
- Last updated
- Nov 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10472 | SC | Yes |
Practice location
4237 River Hills Dr Ste 120Little River, SC 29566-6444
Phone 843-249-5616 · Fax 843-249-1843
Mailing address
790 Remington BlvdBolingbrook, IL 60440-4909
Phone 866-370-8206 · Fax 517-435-3670
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All 13 Physical Therapist providers in Little River · All 468 providers in Little River
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