Individual
ASHLEY L COOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2508 COOPER AVE, SHEBOYGAN, WI 53083-4471
(920) 838-4595
Mailing address
2508 COOPER AVE, SHEBOYGAN, WI 53083-4471
(920) 838-4595
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5998-26
WI
225XP0019X
Physical Rehabilitation Occupational Therapist
5998-26
WI
Other
Enumeration date
04/03/2017
Last updated
02/27/2023
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