Individual
JESSICA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7831 PARK LN, DALLAS, TX 75225-2000
(214) 369-9902
Mailing address
6966 SANTA MARIA LN, DALLAS, TX 75214-2848
(214) 282-1150
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
110776
TX
Other
Enumeration date
02/18/2021
Last updated
02/18/2021
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