Individual
ELAINE M COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
20201 CRAWFORD AVE, OLYMPIA FIELDS, IL 60461-1010
(708) 747-4000
Mailing address
5302 GULL DR, SCHERERVILLE, IN 46375-4452
(708) 577-0414
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005136
IL
224Z00000X
Occupational Therapy Assistant
32003398A
IN
Other
Enumeration date
04/10/2019
Last updated
02/28/2023
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