Provider Demographics
NPI:1508131244
Name:COONEY, JESSIE ANN (DPT)
Entity Type:Individual
Prefix:DR
First Name:JESSIE
Middle Name:ANN
Last Name:COONEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1214 TULLAMORE CIR
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-1214
Mailing Address - Country:US
Mailing Address - Phone:610-781-3460
Mailing Address - Fax:
Practice Address - Street 1:1214 TULLAMORE CIR
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-1214
Practice Address - Country:US
Practice Address - Phone:610-781-3460
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist