Provider Demographics
NPI:1538208848
Name:COOPER, CHERYL JUNE (OTR, CHT)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:JUNE
Last Name:COOPER
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3512 HIGHWAY 365
Mailing Address - Street 2:
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-7834
Mailing Address - Country:US
Mailing Address - Phone:409-722-7116
Mailing Address - Fax:409-722-7450
Practice Address - Street 1:3512 HIGHWAY 365
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-7834
Practice Address - Country:US
Practice Address - Phone:409-722-7116
Practice Address - Fax:409-722-7450
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100826225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand