Individual
MS. PATRICIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154-5260
(402) 891-1118
Mailing address
5030 SIR SAGAMORE DR, NORTH CHESTERFIELD, VA 23237-4733
(804) 397-5193
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
0119000559
VA
225XP0019X
Physical Rehabilitation Occupational Therapist
115866
TX
225XP0019X
Physical Rehabilitation Occupational Therapist
1313
HI
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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