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Raymond Cooper

Recreation Therapist in Dallas, TX. Individual provider (NPI-1).

NPI number1164099131
StatusActive
Last updated in NPPESJun 8, 2021

Details

NPI
1164099131
Entity type
Individual (NPI-1)
Name
Raymond Cooper
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 8, 2021
Certification date
Jun 8, 2021
Last updated
Jun 8, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225800000X Recreation Therapist––Yes

Practice location

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone 214-857-1742

Mailing address

4500 S Lancaster Rd
Dallas, TX 75216-7167

Phone 214-857-1742

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