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AUDREY COOPER

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1073930350

Individual Registrant:
 AUDREY  COOPER 
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: --

Contact information for business:
307 BROOKFIELD CIR  MACUNGIE, PA 18062-1171 US
Tel: --  Fax: --

Registration Information:
NPI: 1073930350
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
PAOP007127

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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