Doctor Name: | MRS. ANNA RENEE COOPERSMITH |
NPI Number: | 1730573775 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | OT 6007 |
Business Practice Address: | 320 Tesconi Cir G Santa Rosa, CA - 954014611 |
Business Phone Number: | 7075442637 |
Business Fax Number: | 7075442088 |
Mailing Address: | 320 Tesconi Cir, Suite G SANTA ROSA |
State: | CA |
Postal Code: | 954014611 |
Phone Number: | 7075442637 |
Fax Number: | 7075442088 |
NPI Enumeration Date: | 03/27/2015 |
NPI Last Update Date: | 07/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | OT 6007 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |