Individual
MR. WAYNE COOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
71 PIEDMONT FR., WHITESBURG, KY 41858
(606) 216-2902
Mailing address
555 WELLS FORK RD, VIPER, KY 41774-8993
(606) 216-2901
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
134121
KY
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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