Provider Demographics
NPI:1073818589
Name:COOPER, VALERIE DALE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:DALE
Last Name:COOPER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 DEERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BLAIRS
Mailing Address - State:VA
Mailing Address - Zip Code:24527
Mailing Address - Country:US
Mailing Address - Phone:434-251-5478
Mailing Address - Fax:
Practice Address - Street 1:258 DEERWOOD DR
Practice Address - Street 2:
Practice Address - City:BLAIRS
Practice Address - State:VA
Practice Address - Zip Code:24527-1030
Practice Address - Country:US
Practice Address - Phone:434-251-5478
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-13
Last Update Date:2011-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001725225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist