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NPI Code Detail

MEDICARE: MRS. JENIFER MAY COOPER MPT

MEDICARE: MRS. JENIFER MAY COOPER MPT
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
1225100000XPhysical Therapist40QA01261900NJ

General Provider Information

NPI Number : 1013175090
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENIFER MAY COOPER MPT
Provider Business Mailing Address
First Line : 200 CENTRAL AVE
Second Line :
City : MINOTOLA
State : NJ
Zip : 08341-1005
Country : US
Telephone Number : 856-697-1688
Fax Number :
Provider Business Practice Location Address
First Line : 640 WHITE HORSE PIKE
Second Line :
City : HAMMONTON
State : NJ
Zip : 08037-9602
Country : US
Telephone Number : 609-704-1980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2008
Last Update Date : 05/27/2008

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Directions to “ MRS. JENIFER MAY COOPER MPT” Practice Location

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