Individual
MS. JOAN LOUISE COSPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403-2149
(707) 393-4000
Mailing address
400 MELVIN ST, PETALUMA, CA 94952-2464
(707) 766-4205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
17147
CA
Other
Enumeration date
04/09/2019
Last updated
01/03/2022
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