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Individual

GARY THOMAS COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
6099 RIVERSIDE DR STE 207, DUBLIN, OH 43017-2004
(740) 953-1184
(614) 702-7226
Mailing address
6099 RIVERSIDE DR STE 207, DUBLIN, OH 43017-2004
(740) 953-1184
(614) 702-7226

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT012384
OH

Other

Enumeration date
06/17/2013
Last updated
02/21/2024
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