Individual
COOPER TYREE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN BSN OCN
Contact information
Practice address
2055 READING RD STE 480, CINCINNATI, OH 45202-1439
(513) 305-1463
Mailing address
2055 READING RD STE 480, CINCINNATI, OH 45202-1439
(513) 305-1463
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8988
MEDICAL TATTOOING
—
Enumeration date
11/23/2020
Last updated
11/23/2020
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