Individual
TESSA ANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE, OMAHA, NE 68105-1850
(402) 995-3648
Mailing address
2509 HUMMINGBIRD CIR, BELLEVUE, NE 68123-4638
(402) 672-2035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1266
NE
Other
Enumeration date
12/24/2008
Last updated
12/24/2008
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