Individual
LISA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
500 SUNFLOWER BLVD, OZAWKIE, KS 66070-9511
(785) 876-2214
Mailing address
4800 MCCORMICK ST, LAWRENCE, KS 66047-9664
(785) 749-7984
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
18-01485
KS
Other
Enumeration date
08/19/2018
Last updated
08/19/2018
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