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Tawanna Cooper
NPI 1760735773 · on the registry since 2012
Practice
- Address
- 1981 N Woodstock St
Philadelphia, PA 19121 - Phone
- (215) 235-5040
- Fax
- (215) 235-7947
- Organisation at this address
- Philadelphia Health Management Corporation
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-10-16
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 Pennsylvania