Individual
MR. BRADLEY ALAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
12 CARMELITA CV, SHAW, MS 38773-9619
(662) 846-7228
(662) 843-5434
Mailing address
12 CARMELITA CV, SHAW, MS 38773-9619
(662) 846-7228
(662) 843-5434
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT0258
MS
225XE1200X
Ergonomics Occupational Therapist
Primary
OT0258
MS
Other
Enumeration date
05/01/2007
Last updated
09/11/2025
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