Robert Charlton Cooper, OTR/L Valid NPI
Individual provider · Military Health Care Provider · Fort Moore, GA
- NPI
- 1285814830
- Type
- Individual (Type 1)
- Primary specialty
- Military Health Care Provider
- Specialty group
- Other Service Providers
- Taxonomy code
- 171000000X
- License number
- OT004016 (GA)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2007-11-13
- Last updated
- 2024-09-30
Practice location
6600 Van Aalst Blvd
Fort Moore, GA 31905-2102
(762) 408-1617