Individual
JACOB S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
4700 HARRISON BLVD, OGDEN, UT 84403-4303
(801) 475-3870
(801) 475-3876
Mailing address
PO BOX 5546, DENVER, CO 80217-5546
(801) 475-3870
(801) 475-3876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7241132-2401
UT
Other
Enumeration date
05/28/2014
Last updated
01/18/2017
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