Individual
MISS MARY YANTIS COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
7807 BAYMEADOWS RD E, SUITE 200, JACKSONVILLE, FL 32256-9664
(904) 398-4133
(904) 398-4148
Mailing address
7807 BAYMEADOWS RD E, SUITE 200, JACKSONVILLE, FL 32256-9664
(904) 398-4133
(904) 398-4148
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
OT13813
FL
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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