Individual
LESLIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Mailing address
2412 GREATSTONE PT, LEXINGTON, KY 40504-3274
(859) 224-4081
(859) 224-4082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3458
KY
Other
Enumeration date
06/20/2007
Last updated
07/08/2007
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