Provider Demographics
NPI:1316189129
Name:COOPER, CHRISTINE MEYER (PT, DPT)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:MEYER
Last Name:COOPER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:MS
Other - First Name:CHRISTINE
Other - Middle Name:MARIE
Other - Last Name:MEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:491 JOHN YOUNG WAY
Mailing Address - Street 2:SUITE 130
Mailing Address - City:EXTON
Mailing Address - State:PA
Mailing Address - Zip Code:19341-2567
Mailing Address - Country:US
Mailing Address - Phone:610-524-7251
Mailing Address - Fax:610-280-1506
Practice Address - Street 1:491 JOHN YOUNG WAY
Practice Address - Street 2:SUITE 130
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341-2567
Practice Address - Country:US
Practice Address - Phone:610-524-7251
Practice Address - Fax:610-280-1506
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist