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Individual

CAITLIN MARY COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTRL

Contact information

Practice address
15160 FOLIAGE AVE STE 170, APPLE VALLEY, MN 55124-5916
(952) 683-1745
(952) 683-1746
Mailing address
1939 MINNEHAHA AVE W STE 300, SAINT PAUL, MN 55104-1033
(651) 748-4338
(651) 748-2892

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
107173
MN

Other

Enumeration date
05/18/2023
Last updated
06/05/2023
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