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Individual

KAITLYN ANN COOPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
(734) 634-8620
Mailing address
3903 LAWLEY AVE, WATERFORD, MI 48328-4053
(734) 634-8620

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201011123
MI

Other

Enumeration date
05/29/2019
Last updated
05/30/2025
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