Individual
CHERYL COOPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
275 REGENCY CT, SUITE 200, BROOKFIELD, WI 53045-6168
(262) 798-9650
(262) 798-9652
Mailing address
275 REGENCY CT, SUITE 200, BROOKFIELD, WI 53045-6168
(262) 798-9650
(262) 798-9652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1911-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1911-026
OCCUPATIONAL THERAPIST STATE LICENSE
WI
Enumeration date
09/15/2008
Last updated
07/15/2013
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