Individual
KAYLA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
719 S MAIN ST STE 104, SPRINGFIELD, TN 37172-2809
(615) 480-4792
Mailing address
865 BELLEVUE RD APT W20, NASHVILLE, TN 37221-2797
(731) 514-7819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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