Individual provider · NPI-1

Alexis Cooper, COTA

Occupational Therapy Assistant · Gilbert, AZ

NPI number1962052555
StatusActive
Last updated in NPPESSep 16, 2019

Details

NPI
1962052555
Entity type
Individual (NPI-1)
Name
Alexis Cooper
Credential
COTA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2019
Last updated
Sep 16, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy AssistantOTA-000052AZYes

Practice location

854 E Williams Field Rd Ste 105
Gilbert, AZ 85295-0703

Phone 480-398-4280 · Fax 480-398-4281

Mailing address

1739 S Almond
Mesa, AZ 85204-6905

Phone 208-745-1971

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