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Lacey Cooper, PTA
NPI 1346907383 · on the registry since 2021
Practice
- Address
- 15385 W Fillmore St Unit 35
Goodyear, AZ 85338 - Phone
- (623) 692-9917
- Organisation at this address
- Pure Water Recovery And Sober Living, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Physical Medicine & Rehabilitation Physician
208100000X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-11-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona