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1184996084
EDNA ANN COOPER
PARK CITY, UT
NPI
1184996084
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: GA OTA001141)
Enumeration Date
2012-02-08
Last Update Date
2012-02-08
Business Address
Ms. EDNA ANN COOPER COTA/L
6300 SAGEWOOD DR SUITE H423
PARK CITY, UT 84098-7502
Phone number: 888-499-4904
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Mailing Address
Ms. EDNA ANN COOPER COTA/L
1889 OLD HWY 29
HARTWELL, GA 30643-8703
Phone number: 706-680-9064
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