Edna Cooper, COTA/L

NPI 1184996084 · on the registry since 2012 · sole proprietor

Practice

Address: 6300 Sagewood Dr
Suite H423
Park City, UT 84098
Phone: (888) 499-4904
Fax: (435) 658-4954
Organisation at this address: Blue Sage Medical Llc
Desert Speech & Feeding Clinic Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 224Z00000X
224Z00000X
Licence states on file: GA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2012-02-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah