Individual
GENEICE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
221 S ROWLAND ST, CASSOPOLIS, MI 49031-1350
(269) 635-8512
Mailing address
221 S ROWLAND ST, CASSOPOLIS, MI 49031-1350
(269) 635-8512
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
5202006918
MI
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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