Individual
KATHLEEN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3139 S 380 E, ANDERSON, IN 46017-9712
(765) 620-4448
Mailing address
3139 S 380 E, ANDERSON, IN 46017-9712
(765) 620-4448
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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