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Individual

DANIEL AUSTIN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
11221 GALLERIA AVE STE 101, RALEIGH, NC 27614-8137
(919) 562-9410
(919) 562-9425
Mailing address
PO BOX 1107, WAKE FOREST, NC 27588-1107
(919) 562-9410
(919) 562-9425

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13937
NC

Other

Enumeration date
09/09/2021
Last updated
04/18/2022
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