Individual
MRS. AMBER MATHIS COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1530 BROAD AVE, GULFPORT, MS 39501-3601
(228) 864-6544
Mailing address
1530 BROAD AVE, GULFPORT, MS 39501-3601
(228) 864-6544
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1967
MS
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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