Cooper, Kelli

Cooper, Kelli is an individual health care provider with primary practice located at 2225 W Southern Ave , Mesa AZ 85202-4716. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Cooper, Kelli can be contacted via phone (480) 412-4101.

Contact Information

Primary practice address
2225 W Southern Ave Mesa AZ 85202-4716
Phone: (480) 412-4101
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTH-006878 Arizona

Profile Details

NPI number 1639361124
LBN Legal business name Cooper, Kelli
Credentials OTR/L, PTA
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2007
Last updated Nov 6th, 2018 - about 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1639361124 NPPES
Arizona Other OTH-006878 LICENSE#
Arizona Other 7773A LICENSE#

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