MEDICARE: MRS. VERONICA COPE 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	225X00000X	Occupational Therapist	011117	OH

General Provider Information

NPI Number	:	1881017416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. VERONICA COPE OTR/L

Provider Business Mailing Address
First Line	:	4558 IRELAN ST
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45440-1549
Country	:	US
Telephone Number	:	937-626-0953
Fax Number	:

Provider Business Practice Location Address
First Line	:	7701 BERCHMAN DR
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-2112
Country	:	US
Telephone Number	:	937-297-6300
Fax Number	:

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

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	08/25/2020

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