Individual
ELISABETH LORENE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
Mailing address
300 FLOYD DR, SIKESTON, MO 63801-3960
(573) 472-0397
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2019028699
MO
Other
Enumeration date
08/24/2021
Last updated
08/26/2021
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