Individual
MADISON COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 HIGHWAY 62 412, HIGHLAND, AR 72542-9497
(870) 701-5089
Mailing address
1361 LARKIN RD, MELBOURNE, AR 72556-8946
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA2004
AR
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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