Individual
COLLIN MICHAEL COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1132 BLUEBIRD WAY, CELINA, TX 75009-1620
(310) 753-1007
Mailing address
1132 BLUEBIRD WAY, CELINA, TX 75009-1620
(310) 753-1007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122060
TX
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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