Individual
DEBRA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L/COTA
Contact information
Practice address
3400 SOUTHPOINT DR, BLACKSBURG, VA 24060-1261
(803) 865-3726
Mailing address
3400 SOUTHPOINT DR, BLACKSBURG, VA 24060-1261
(803) 865-3726
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000185
VA
Other
Enumeration date
10/22/2015
Last updated
04/13/2016
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