NPI 1306511902

Andrea Cooper, CTRS

Practitioner Recreation Therapist Glen Allen, VA

Practice location

Address: 9472 Centerway Dr, Glen Allen, VA 23059-7404
Phone: (210) 387-2046

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Registry record

NPI: 1306511902
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Aug 2021
Record last updated: 16 Aug 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.