Individual
MRS. GAIL COOPER-HAWTHORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1145 US HIGHWAY 80 W, POOLER, GA 31322-2200
(912) 659-8717
(912) 330-1042
Mailing address
2 RYAN CT, POOLER, GA 31322-3251
(912) 354-4474
(912) 354-4443
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
000417
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000767269A
—
GA
Enumeration date
12/06/2006
Last updated
03/17/2018
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