Provider Demographics
NPI:1659417350
Name:COOPER, ROBIN SANDLIN (OT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:SANDLIN
Last Name:COOPER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:594 GINGERMILL LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1930
Mailing Address - Country:US
Mailing Address - Phone:859-221-5278
Mailing Address - Fax:859-245-2060
Practice Address - Street 1:594 GINGERMILL LN
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1930
Practice Address - Country:US
Practice Address - Phone:859-221-5278
Practice Address - Fax:859-245-2060
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYR1358171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1638OtherFIRST STEPS BILLING