Individual
AUDREY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 S HOME AVE, TOPTON, PA 19562-1317
(610) 682-1567
Mailing address
307 BROOKFIELD CIR, MACUNGIE, PA 18062-1171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007127
PA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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