ROBERT SHANE COOPER

MARTINSVILLE, VA
NPI1073037529
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: VA  0131000278)
Enumeration Date2017-07-26
Last Update Date2017-07-26
Business Address
ROBERT SHANE COOPER COTA/L
300 BLUE RIDGE ST
MARTINSVILLE, VA 24112-7261
Phone number: 276-340-7132
Mailing Address
ROBERT SHANE COOPER COTA/L
PO BOX 271
SPENCER, VA 24165-0271
Phone number: 276-340-7132
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