Cooper, Leandra

Cooper, Leandra is an sole proprietor health care provider with primary practice located at 2051 Pottery Ave , Port Orchard WA 98366-2010. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Cooper, Leandra can be contacted via phone (360) 876-4461.

Contact Information

Primary practice address
2051 Pottery Ave Port Orchard WA 98366-2010
Phone: (360) 876-4461
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 60732310 Washington

Profile Details

NPI number 1295224681
LBN Legal business name Cooper, Leandra
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2018
Last updated May 1st, 2018 - about 6 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 1295224681 NPPES
Washington MEDICAID 225X00000X

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