MEDICARE: MISS APRIL DEANN COOPER DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT3775	OK

General Provider Information

NPI Number	:	1770814329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS APRIL DEANN COOPER DPT

Provider Business Mailing Address
First Line	:	PO BOX 365
Second Line	:
City	:	HULBERT
State	:	OK
Zip	:	74441-0365
Country	:	US
Telephone Number	:	918-207-8688
Fax Number	:	918-772-2155

Provider Business Practice Location Address
First Line	:	938B W SHAWNEE ST
Second Line	:
City	:	MUSKOGEE
State	:	OK
Zip	:	74401-3511
Country	:	US
Telephone Number	:	918-683-7731
Fax Number	:	918-683-6244

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/21/2010
Last Update Date	:	03/16/2026

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