Provider Demographics
NPI:1649490426
Name:OGUZ, CARMEN COOPER (PT)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:COOPER
Last Name:OGUZ
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CARMEN
Other - Middle Name:ELIZABETH
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:305 SHUMATE CIR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:38732-2215
Mailing Address - Country:US
Mailing Address - Phone:662-756-2711
Mailing Address - Fax:662-756-4021
Practice Address - Street 1:305 SHUMATE CIR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:MS
Practice Address - Zip Code:38732-2215
Practice Address - Country:US
Practice Address - Phone:662-402-8887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPT2342225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist