Individual
AMBER COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7650 N 43RD AVE, GLENDALE, AZ 85301-1661
(623) 435-6000
Mailing address
PO BOX 72932, PHOENIX, AZ 85050-1033
(480) 309-7453
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6599
AZ
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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