Cooper, Bradley Alan

Cooper, Bradley Alan is an sole proprietor health care provider with primary practice located at 12 Carmelita Cv , Shaw MS 38773-9619. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is his primary health care specialty. Cooper, Bradley Alan can be contacted via phone (662) 846-7228.

Contact Information

Primary practice address
12 Carmelita Cv Shaw MS 38773-9619
Phone: (662) 846-7228
Fax: (662) 843-5434
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT0258 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 225XE1200X OT0258 Mississippi

Profile Details

NPI number 1174744932
LBN Legal business name Cooper, Bradley Alan
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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