Jay Daniel Cooper, OTD | |
2064 Kilauea Ave, Hilo, HI 96720-5233 | |
(808) 339-7478 | |
Not Available |
Full Name | Jay Daniel Cooper |
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Gender | Male |
Speciality | Occupational Therapist |
Location | 2064 Kilauea Ave, Hilo, Hawaii |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164190005 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 121893 (Texas) | Primary |
Provider Name | Ke Ola Kino Physical Therapy, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1093234759 PECOS PAC ID: 4183970460 Enrollment ID: O20180628001134 |
Mailing Address | Practice Location Address |
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Jay Daniel Cooper, OTD 1305 Penny Ln, Rapid City, SD 57702-7772 Ph: () - | Jay Daniel Cooper, OTD 2064 Kilauea Ave, Hilo, HI 96720-5233 Ph: (808) 339-7478 |
Molly Wilson, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 474 Laukapu St Ste 2, Hilo, HI 96720 Phone: 808-339-7478 | |
Sara S Vodovoz, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 944 W Kawailani St, Hilo, HI 96720 Phone: 808-959-9151 Fax: 808-930-9167 | |
Stephanie Cooper, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 49 Kaiulani St, Hilo, HI 96720 Phone: 808-961-3081 | |
Mr. Lance Shigeki Honda, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 944 W Kawailani St, Hilo, HI 96720 Phone: 808-959-9151 | |
Bonnie Blair, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1333 Waianuenue Ave, Hilo, HI 96720 Phone: 808-934-2334 | |
Gail Y Crosthwaite, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1333 Waianuenue Ave, Hilo, HI 96720 Phone: 808-934-2334 |