Individual
JERIA COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
23824 HAWTHORNE BLVD, TORRANCE, CA 90505-5935
(310) 791-3064
Mailing address
23824 HAWTHORNE BLVD STE 200, TORRANCE, CA 90505-5935
(310) 791-3064
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
08/02/2025
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