Individual
SHELBY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1900 E 15TH ST STE 800B, EDMOND, OK 73013-6682
(405) 455-6868
Mailing address
1900 E 15TH ST BLDG 800, EDMOND, OK 73013-6610
(405) 455-6868
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2197
OK
225X00000X
Occupational Therapist
Primary
6039
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2197
OKLAHOMA MEDICAL BOARD
OK
Enumeration date
01/10/2020
Last updated
03/03/2025
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