Provider Demographics
NPI:1710438817
Name:COOPER, AKIRRAH CHRISTINA (ATC/L)
Entity Type:Individual
Prefix:MISS
First Name:AKIRRAH
Middle Name:CHRISTINA
Last Name:COOPER
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 E 172ND ST # 3
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10460-5809
Mailing Address - Country:US
Mailing Address - Phone:347-376-6611
Mailing Address - Fax:
Practice Address - Street 1:1004 E 172ND ST # 3
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-5809
Practice Address - Country:US
Practice Address - Phone:347-376-6611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0020522255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer