Individual
STEPHANIE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 KAIULANI ST, HILO, HI 96720-2528
(808) 961-3081
Mailing address
49 KAIULANI ST, HILO, HI 96720-2528
(808) 961-3081
(808) 961-6847
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1642
HI
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
08/30/2022
Last updated
08/30/2022
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