Individual
CODY COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1341 BLALOCK RD, HOUSTON, TX 77055-6427
(713) 468-7821
Mailing address
459 GINGHAM DR, HOUSTON, TX 77024-6521
(281) 615-7347
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
116653
TX
Other
Enumeration date
09/14/2018
Last updated
09/14/2018
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