Individual
MRS. CATHERINE T COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
411 BERTHA WALLACE DR, IRVINE, KY 40336-9418
(606) 723-5153
(606) 723-7765
Mailing address
133 VIRGINIA DR, RICHMOND, KY 40475-8632
(859) 623-8708
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
R1499
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185339
—
KY
Enumeration date
06/28/2007
Last updated
07/08/2007
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