Individual
BREANNE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Mailing address
110 COURT ST STE 3, CROMWELL, CT 06416-1273
(860) 613-9930
(860) 613-9952
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001166
CT
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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