Individual
MRS. KATHLEEN J. COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2332 HARPER CT, TITUSVILLE, FL 32780-5257
(321) 264-2362
(321) 264-2362
Mailing address
2332 HARPER CT, TITUSVILLE, FL 32780-5257
(321) 264-2362
(321) 264-2362
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
FL
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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