Individual
MS. PAIGE ELIZABETH COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
(931) 836-2230
Mailing address
34 GRACEY ST, SPARTA, TN 38583-2046
(931) 836-2211
(931) 836-2230
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3274
TN
Other
Enumeration date
08/07/2019
Last updated
08/07/2019
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