Most Relevant Information
Provider Data
| NPI Number: | 1003474875 |
| Provider Name: | AMBER COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/05/2019 |
| Last Updated: | 06/05/2019 |
Provider Practice Location
1451 NEWTON DR
TIFTON
GA
317943752
Practice Location Phone/Fax
| Phone: | 2293821665 |
| Fax: |
Provider Mailing Location
3132 SUMNER RD N
SUMNER
GA
317894232
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |