Rita Barbara Cooper

Individual provider Active NPI Occupational Therapist · Fulton, MO

NPI 1659427409 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1659427409
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
002572 (MO)
Practice address
605 S Ravine St
Fulton, MO 65251-1453
Phone
(573) 592-8678
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002572MOMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002572 MO Yes

Addresses

Primary practice location

605 S Ravine St
Fulton, MO 65251-1453

Mailing address

605 S Ravine St
Fulton, MO 65251-1453
Phone (573) 592-8678

Other providers in Fulton, MO

All providers in Fulton, MO · Occupational Therapist in Missouri

Sources for this page

Verify at the official NPI Registry.