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NPI Code Detail

MEDICARE: WILLIAM PURIFOY COONER D.P.T.

MEDICARE: WILLIAM PURIFOY COONER D.P.T.
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 TherapistPT 4205AR
2225100000XPhysical TherapistP18747NC

General Provider Information

NPI Number : 1770039943
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM PURIFOY COONER D.P.T.
Provider Business Mailing Address
First Line : 6019 OLEANDER DR STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4813
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6019 OLEANDER DR STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4813
Country : US
Telephone Number : 910-332-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2016
Last Update Date : 05/25/2022

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Directions to “ WILLIAM PURIFOY COONER D.P.T.” Practice Location

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