Individual
JODI L COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
522 GLENWOOD AVE, NEW BOSTON, OH 45662-5505
(740) 354-7761
Mailing address
2679 BENNETT SCHOOL HOUSE RD, WHEELERSBURG, OH 45694-8614
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-5112
OH
Other
Enumeration date
10/13/2017
Last updated
10/13/2017
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