James Robert Cooper, PTA
Early Intervention Provider Agency in Bridgeport, WV. Individual provider (NPI-1).
NPI number1689412306
StatusActive
Last updated in NPPESNov 7, 2024
Details
- NPI
- 1689412306
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Robert Cooper
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 17, 2024
- Certification date
- Nov 7, 2024
- Last updated
- Nov 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 252Y00000X | Early Intervention Provider Agency | – | – | Yes |
| 225200000X | Physical Therapy Assistant | 001018 | WV |
Practice location
305 Pearcy AveBridgeport, WV 26330-1107
Phone 304-476-1021
Mailing address
305 Pearcy AveBridgeport, WV 26330-1107
Phone 304-476-1021
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Other Early Intervention Provider Agency providers in Bridgeport, WV
- Deanne M BauriedlNPI 1457199010
- Jennifer HathawayNPI 1295573848
- Shawndell Kay JohnsonNPI 1477376341
- Jennifer KoreskiNPI 1487486601
- Ashton Alyss MillerNPI 1275341158
All 6 Early Intervention Provider Agency providers in Bridgeport · All 1,140 providers in Bridgeport
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