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Courtney Cooper
Mastectomy Fitter in Winston Salem, North Carolina
NPI 1972235752

Courtney Cooper is a Mastectomy Fitter based in Winston Salem, NC. Courtney Cooper practices in Winston Salem, NC. The NPI Number for Courtney Cooper is 1972235752 and holds a License No. C54085 (North Carolina).

The current practice location address for Courtney Cooper is 2200 Silas Creek Pkwy, Winston Salem, NC and can be reached out via phone at 336-760-4333.

Location: 2200 Silas Creek Pkwy, Winston Salem, NC, 27103-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972235752
Provider Name
Courtney Cooper
Credential
Provider Entity Type
Individual
Gender
Female
Address
2200 Silas Creek Pkwy, Winston Salem, NC, 27103-5000
Phone Number
336-760-4333
Fax Number
Provider Enumeration Date
06/29/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2200 Silas Creek Pkwy
City
Winston Salem
State
North Carolina
Zip
27103-5000
Phone Number
336-760-4333
Fax Number
person
Provider Business Mailing Address Details
Address
2200 Silas Creek Pkwy
City
Winston Salem
State
North Carolina
Zip
27103-5000
Phone Number
336-760-4333
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
C54085 (North Carolina)
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotic Fitter
Speciality
-
Taxonomy
225000000X
License No.
C54085 (North Carolina)
Definition
An individual trained in the management of fitting prefabricated orthoses.
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