Individual
MRS. BRIANNA GIBBS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
69 BEACH ROAD, HAINES, AK 99827-9982
(907) 766-2101
Mailing address
PO BOX 778, HAINES, AK 99827-0778
(907) 766-2101
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
162724
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
438556
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
—
Enumeration date
06/22/2020
Last updated
07/21/2020
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