Individual provider · Type 1 NPI
Glen Lawrence Cooper, ATC
Specialist · Harrison City, PA
NPI number
1891771887
Active
Practice location
Box 530, Route 130
Harrison City, PA 15636
Fax (724) 744-1214
Mailing address
118 Stoneycreek Ln
Harrison City, PA 15636-1308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | RT000248A (PA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1891771887
Glen Lawrence Cooper, ATC's National Provider Identifier is 1891771887, issued on Dec 21, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Harrison City, PA. The record was last updated on Jul 13, 2026.