Individual
MRS. SHAUNA RACHEL COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
706 RED COAT DR, TEMPLE, TX 76504-2200
(254) 742-1581
Mailing address
1407 EATON DR, TEMPLE, TX 76504-8683
(214) 931-4119
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210870
TX
Other
Enumeration date
09/04/2023
Last updated
09/04/2023
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