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1144722620
KEVIN COOPER
GRAND RAPIDS, MI
NPI
1144722620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: MI 5201010130)
Enumeration Date
2018-03-01
Last Update Date
2018-03-01
Business Address
KEVIN COOPER OTR/L
350 LAFAYETTE AVE SE SUITE 500
GRAND RAPIDS, MI 49503
Phone number: 616-840-8684
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Mailing Address
KEVIN COOPER OTR/L
645 BROADVIEW ST. SE
GRAND RAPIDS, MI 49507
Phone number:
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