IndividualActive
Bradley Cooper, OT
NPI 1174744932 · Ergonomics Occupational Therapist · Shaw, MS
Provider details
- NPI number
- 1174744932
- Entity type
- Individual
- Primary specialty
- Ergonomics Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OT
- Sex
- Male
- Sole proprietor
- Yes
- License
- OT0258 (MS)
Practice location
12 Carmelita Cv
Shaw, MS 38773-9619
Phone: (662) 846-7228
Fax: (662) 843-5434
Mailing address
12 Carmelita Cv
Shaw, MS 38773-9619
Registry dates
- Enumerated
- 2007-05-01
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.