Individual
TIFFANY PURCELL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
9255 US HIGHWAY 42, UNION, KY 41091-7199
(859) 384-0902
Mailing address
2010 DOWNY DR APT 51, HEBRON, KY 41048-7141
(859) 308-7135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
137625
KY
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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