Individual
ROBERT COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LOTA
Contact information
Practice address
6001 W WILLIAM CANNON DR, BLDG I, SUITE 304, AUSTIN, TX 78749-1968
(512) 394-0652
Mailing address
3401 W PARMER LN, APARTMENT #831, AUSTIN, TX 78727-4153
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
205189
TX
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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