Individual
TAJDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
800 STANSEL DR, RULEVILLE, MS 38771-3320
(662) 756-4361
Mailing address
PO BOX 428, ORCHARD PARK, NY 14127-0428
(716) 662-4955
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2904
MS
Other
Enumeration date
09/30/2015
Last updated
09/30/2015
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