Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Catherine Cooper, CTRS

Individual provider Recreation Therapist · NPI 1962928606

Mallory Catherine Cooper, CTRS is a Recreation Therapist in Fresno, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2017
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Practice location Address checks out

2140 Merced St
Fresno, CA 93721-1721
Phone: (559) 892-1125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 69061 (CA)

Record details

NPI number1962928606
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedAugust 15, 2017
Last updated in NPPESAugust 15, 2017

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