Individual
MRS. LORI E STANDARD-COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1450 54TH ST, SUITE A-C, COLUMBUS, GA 31904-4476
(706) 507-2102
(706) 507-2134
Mailing address
1450 54TH ST, SUITE A-C, COLUMBUS, GA 31904-4476
(706) 507-2102
(706) 507-2134
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00744
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT00744
GA LICENSURE
GA
Enumeration date
06/30/2006
Last updated
03/09/2009
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