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NPI Code Detail

MEDICARE: MRS. ELIZABETH BOWMAN COOPER OTR/L

MEDICARE: MRS. ELIZABETH BOWMAN COOPER OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist0119000226VA
2225XP0200XPediatric Occupational Therapist0119000226VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467555870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH BOWMAN COOPER OTR/L
Provider Business Mailing Address
First Line : 463 E WASHINGTON ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4853
Country : US
Telephone Number : 540-433-3100
Fax Number :
Provider Business Practice Location Address
First Line : 463 E WASHINGTON ST
Second Line :
City : HARRISONBURG
State : VA
Zip : 22802-4853
Country : US
Telephone Number : 540-433-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2006
Last Update Date : 10/31/2016

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