Amber Cooper
Occupational Therapy Assistant in Tifton, GA. Individual provider (NPI-1).
NPI number1003474875
StatusActive
Last updated in NPPESJun 5, 2019
Details
- NPI
- 1003474875
- Entity type
- Individual (NPI-1)
- Name
- Amber Cooper
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 5, 2019
- Last updated
- Jun 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | – | GA | Yes |
Practice location
1451 Newton DrTifton, GA 31794-3752
Phone 229-382-1665
Mailing address
3132 Sumner Rd NSumner, GA 31789-4232
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