Individual
KELLY E COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
1018 RED BRICK CT, EVANSVILLE, IN 47720-8225
(540) 492-1360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32003541A
IN
Other
Enumeration date
10/25/2022
Last updated
10/25/2022
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