Individual
KIMBERLY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1507 MERRYWOOD DR, JONESBORO, AR 72401-5108
(870) 253-6519
Mailing address
3423 E HIGHLAND DR, JONESBORO, AR 72401-6404
(870) 336-0022
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OT-A860
AR
Other
Enumeration date
04/30/2014
Last updated
04/30/2014
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