Individual
EMILY MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
23 MEXICO ST, CAMDEN, NY 13316-1203
(315) 820-8014
Mailing address
9057 PETRIE RD, BRIDGEPORT, NY 13030-8706
(315) 396-3494
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024839-01
NY
Other
Enumeration date
10/16/2020
Last updated
10/16/2020
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