Most Relevant Information
Provider Data
| NPI Number: | 1003658865 |
| Provider Name: | CHARLENE COOPER |
| Entity Type: | Individual |
| Taxonomy Code: | 373H00000X |
| Specialty: | Day Training/Habilitation Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/11/2024 |
| Last Updated: | 06/11/2024 |
Provider Practice Location
3148 HIGHWAY 367 S
CABOT
AR
720237473
Practice Location Phone/Fax
| Phone: | 5019413500 |
| Fax: |
Provider Mailing Location
3127 SOUTHWEST DR
JONESBORO
AR
724048404
Provider Mailing Phone/Fax
| Phone: | 8703368100 |
| Fax: |