Individual
KAYLA MARIE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
74071 PLAYA VISTA DR, TWENTYNINE PALMS, CA 92277-1843
(573) 239-2035
Mailing address
74071 PLAYA VISTA DR, TWENTYNINE PALMS, CA 92277-1843
(573) 239-2035
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
22419
CA
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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