Individual
MS. EDNA ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
6300 SAGEWOOD DR, SUITE H423, PARK CITY, UT 84098-7502
(888) 499-4904
(435) 658-4954
Mailing address
1889 OLD HWY 29, HARTWELL, GA 30643-8703
(706) 680-9064
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA001141
GA
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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