Healthcare Provider Details

I. General information

NPI: 1225973332
Provider Name (Legal Business Name): DAVID RICHARD COOPER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/23/2026
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

33900 CAMBERLY CT
SOLON OH
44139-5847
US

IV. Provider business mailing address

33900 CAMBERLY CT
SOLON OH
44139-5847
US

V. Phone/Fax

Practice location:
  • Phone: 440-715-0515
  • Fax:
Mailing address:
  • Phone: 440-715-0515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number001882
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: