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Individual

MERYL S COOPERMAN

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
920 TOWN CTR, NEW BRITAIN, PA 18901-5182
(215) 340-2216
Mailing address
393 TOWNSHIP LINE RD, CHALFONT, PA 18914-1428
(215) 340-2216

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC002291L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01970626
PA
01
2424667
UNITED HEATLHCARE
PA
01
30013746
KEYSTONE MERCY HEALTH PLA
PA
01
756510
BC/BS
PA
Enumeration date
04/11/2006
Last updated
07/08/2007
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