Individual
JENNIFER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 277-6611
Mailing address
9229 ARLINGTON BLVD, FAIRFAX, VA 22031-2504
(703) 277-6611
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000213
VA
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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