Individual
MRS. ELIZABETH BOWMAN COOPER
Active
Individual
MRS. ELIZABETH BOWMAN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119000226
VA
225XP0200X
Pediatric Occupational Therapist
Primary
0119000226
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004978552
—
VA
Enumeration date
09/07/2006
Last updated
10/31/2016
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