IndividualActive
Edna Cooper, COTA/L
NPI 1184996084 · Occupational Therapy Assistant · Park City, UT
Provider details
- NPI number
- 1184996084
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OTA001141 (GA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6300 Sagewood Dr
Suite H423
Park City, UT 84098-7502
Phone: (888) 499-4904
Fax: (435) 658-4954
Approximate (ZIP-level) locationGet directions
Mailing address
1889 Old Hwy 29
Hartwell, GA 30643-8703
Registry dates
- Enumerated
- 2012-02-08
- Last updated
- 2012-02-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.