Individual
JENNIFER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
213 S WESTGATE DR, PEOTONE, IL 60468-9808
(708) 603-1616
Mailing address
213 S WESTGATE DR, PEOTONE, IL 60468-9808
(708) 603-1616
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/17/2016
Last updated
09/17/2016
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