Individual
MICHAEL ANTHONY COOPER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
2510 GA HIGHWAY 127, KATHLEEN, GA 31047-2828
(789) 711-1534
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008456
GA
Other
Enumeration date
06/19/2023
Last updated
08/21/2023
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