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Contact Information

MARY Y COOPER, OTR/L
7807 BAYMEADOWS RD E
SUITE 200
JACKSONVILLE, FL32256-9664
 Phone: 904-398-4133
 Fax: 904-398-4148
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MARY Y COOPER · (Female)

NPI Number 1740517085
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 11/06/2009
Last updated 11/06/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OT13813
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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