Lacy Cooper

NPI #1275999583 in Summit, Mississippi

Provider Information

NPI Number: 1275999583
Entity Type: Individual
Name: Lacy Cooper
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jan 4, 2016
Last Updated: Jan 4, 2016

Practice Location

Address: 4109 HIGHWAY 98 W
City: Summit
State: Mississippi
ZIP Code: 39666-9132
Phone: (601) 276-3900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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