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AUDREY COOPER
>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1073930350
Individual Registrant: AUDREY COOPER
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1 S HOME AVE TOPTON, PA 19562-1317 US
Tel: 610-682-1567 Fax: --
Tel: 610-682-1567 Fax: --
Contact information for business:
307 BROOKFIELD CIR MACUNGIE, PA 18062-1171 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1073930350
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 224Z00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapy Assistant | PA | OP007127 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
