Individual
KORBYN ELISE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2808 S MAIN ST STE C, LINDALE, TX 75771-7854
(903) 780-6596
Mailing address
2055 W GRANDE BLVD, TYLER, TX 75703-0526
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
218787
TX
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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