Doctor Name: | DR. JOHANNA COOPER |
NPI Number: | 1104257757 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DVM, DACVIM |
License Number: | VT 6376 |
Business Practice Address: | 525 South St Walpole, MA - 020812716 |
Business Phone Number: | 5086685454 |
Business Fax Number: | 5088509809 |
Mailing Address: | 525 South St, WALPOLE |
State: | MA |
Postal Code: | 020812716 |
Phone Number: | 5086685454 |
Fax Number: | 5088509809 |
NPI Enumeration Date: | 12/09/2013 |
NPI Last Update Date: | 12/09/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | VT 6376 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |