MEDICARE: ABIGAIL O 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
1	101Y00000X	Counselor
2	225X00000X	Occupational Therapist	60472557	WA

General Provider Information

NPI Number	:	1588940894
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL O COOPER OTR/L

Provider Business Mailing Address
First Line	:	6741 MURRAY AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-1748
Country	:	US
Telephone Number	:	717-925-9348
Fax Number	:

Provider Business Practice Location Address
First Line	:	1618 S LANE ST STE 400
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98144-2829
Country	:	US
Telephone Number	:	717-925-9348
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2011
Last Update Date	:	12/11/2023

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Directions to “ ABIGAIL O COOPER OTR/L” Practice Location

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