Individual
DURENDA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3265 COUNTY ROAD 617, VENUS, TX 76084
(817) 487-5057
Mailing address
3265 COUNTY ROAD 617, VENUS, TX 76084-3207
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
214232
TX
Other
Enumeration date
08/18/2018
Last updated
08/18/2018
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