Provider Demographics
NPI:1134281579
Name:COOPER, MURRAY ANTHONY (PT)
Entity Type:Individual
Prefix:
First Name:MURRAY
Middle Name:ANTHONY
Last Name:COOPER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 EDWARDS MILL RD
Mailing Address - Street 2:200
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-5243
Mailing Address - Country:US
Mailing Address - Phone:919-781-4060
Mailing Address - Fax:919-781-5246
Practice Address - Street 1:10880 DURANT RD
Practice Address - Street 2:SUITE312
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6628
Practice Address - Country:US
Practice Address - Phone:919-463-5638
Practice Address - Fax:919-463-5639
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist