Cooper, Kennedy Lake
Cooper, Kennedy Lake is an individual health care provider with primary practice located at 31 School Dr , Melbourne AR 72556-8620. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cooper, Kennedy Lake can be contacted via phone (870) 916-2269.Contact Information
Primary practice address
31 School Dr
Melbourne AR 72556-8620
Phone: (870) 916-2269
Fax: (870) 277-0896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | 4841 | Arkansas |
Profile Details
| NPI number | 1588343941 |
|---|---|
| LBN Legal business name | Cooper, Kennedy Lake |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2023 |
| Last updated | Jul 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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