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1700201514
TRACY COOPER
CHICAGO, IL
NPI
1700201514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: IL 056009071)
Enumeration Date
2014-03-03
Last Update Date
2014-03-03
Business Address
-- TRACY COOPER OTR/L
2506 N CLARK ST # 158
CHICAGO, IL 60614-1848
Phone number: 312-401-0975
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Mailing Address
-- TRACY COOPER OTR/L
2506 N CLARK ST 158
CHICAGO, IL 60614-1848
Phone number:
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