Dena Cooper, OT | |
3414 Meadow Glade Cir, Kingwood, TX 77345-1052 | |
(325) 668-4413 | |
Not Available |
Full Name | Dena Cooper |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 3414 Meadow Glade Cir, Kingwood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992581177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 105734 (Texas) | Primary |
Provider Name | Aegis Group Practice Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972288728 PECOS PAC ID: 5193036432 Enrollment ID: O20231018000657 |
Mailing Address | Practice Location Address |
---|---|
Dena Cooper, OT 3414 Meadow Glade Cir, Kingwood, TX 77345-1052 Ph: (325) 668-4413 | Dena Cooper, OT 3414 Meadow Glade Cir, Kingwood, TX 77345-1052 Ph: (325) 668-4413 |
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