Individual
MRS. AMBER LEIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Mailing address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1073789467
IN
Other
Enumeration date
03/27/2014
Last updated
03/27/2014
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