Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 100448 | TX |
N | 2251E1200X | Ergonomics | 100448 | TX |
N | 225XE1200X | Ergonomics | 100448 | TX |
N | 225XH1200X | Occupational Therapist - Hand | 100448 | TX |
NPI | 1760493761 |
---|---|
Provider Name | Mrs. Elizabeth Deann Cooper |
First Address | Odessa, TX 79765-8521 |
Second Address | Odessa, TX 79762-5311 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 08/07/2007 |