Individual
BRYAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHS
Contact information
Practice address
5040 GREENHURST DR, MAPLE HEIGHTS, OH 44137-1124
(216) 702-8542
Mailing address
5040 GREENHURST DR, MAPLE HEIGHTS, OH 44137-1124
(216) 702-8542
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
Primary
RF347418
OH
Other
Enumeration date
04/20/2023
Last updated
06/18/2024
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