NPI 1164190005

Jay Daniel Cooper, OTD

Practitioner Occupational Therapist Hilo, HI

Practice location

Address: 2064 Kilauea Ave, Hilo, HI 96720-5233
Phone: (808) 339-7478
Mailing address: 1305 Penny Ln, Rapid City, SD 57702-7772

Registered specialties

Occupational Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225X00000X Licence 121893 (TX)

Other Occupational Therapist providers in Hawaii →

Registry record

NPI: 1164190005
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 Sep 2021
Record last updated: 4 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.