Individual
RITA BARBARA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
605 S RAVINE ST, FULTON, MO 65251-1453
(573) 592-8678
Mailing address
605 S RAVINE ST, FULTON, MO 65251-1453
(573) 592-8678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002572
MO
Other
Enumeration date
01/26/2007
Last updated
07/08/2007
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