Individual
CATHLEEN ANN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
31 VAUXHALL ST, NEW LONDON, CT 06320-5723
(860) 334-2203
Mailing address
273 PENDLETON HL, NORTH STONINGTON, CT 06359-1414
(860) 334-2203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
001282
CT
224Z00000X
Occupational Therapy Assistant
OTA00601
RI
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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