Individual
SHARIBETH COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12581 MILSTEAD WAY STE 302, WOODBRIDGE, VA 22192-5445
(703) 239-7336
Mailing address
2609 FOXHALL MNR, SCOTT AFB, IL 62225-1453
(306) 728-2224
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.007385
IL
225XP0200X
Pediatric Occupational Therapist
Primary
056.007385
IL
Other
Enumeration date
08/03/2009
Last updated
05/11/2022
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