Individual
KERI COPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12810 HILLCREST RD # B100, DALLAS, TX 75230-1525
(972) 404-1718
Mailing address
3620 JANLYN LN, FARMERS BRANCH, TX 75234-6604
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120525
PRIVATE INSURANCE
—
Enumeration date
02/20/2020
Last updated
02/20/2020
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