Provider Demographics
NPI:1437368867
Name:COOPER, MARGARET ANNE (MS PT)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:ANNE
Last Name:COOPER
Suffix:
Gender:F
Credentials:MS PT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:COOPER
Other - Last Name:SOWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS PT
Mailing Address - Street 1:230 SW 3RD STREET
Mailing Address - Street 2:SUITE 208
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330
Mailing Address - Country:US
Mailing Address - Phone:541-257-2432
Mailing Address - Fax:541-257-2933
Practice Address - Street 1:230 SW 3RD STREET
Practice Address - Street 2:SUITE 208
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97333
Practice Address - Country:US
Practice Address - Phone:541-257-2432
Practice Address - Fax:541-257-2933
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2486225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist