Individual
MRS. CAROLYN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2826 CLEVELAND AVE, FORT MYERS, FL 33901-6001
(239) 334-1091
Mailing address
2826 CLEVELAND AVE, FORT MYERS, FL 33901-6001
(239) 334-1091
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA7655
FL
Other
Enumeration date
12/05/2016
Last updated
07/17/2019
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