Individual
ERIN ROSE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
246 11TH AVE SE, FOREST LAKE, MN 55025-1823
(651) 464-0771
Mailing address
246 11TH AVE SE, FOREST LAKE, MN 55025-1823
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
202553
MN
Other
Enumeration date
05/04/2026
Last updated
05/04/2026
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