Individual
ALEXIS COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
854 E WILLIAMS FIELD RD STE 105, GILBERT, AZ 85295-0703
(480) 398-4280
(480) 398-4281
Mailing address
1739 S ALMOND, MESA, AZ 85204-6905
(208) 745-1971
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-000052
AZ
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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