Organization
COOPER FITNESS
Active
Organization
COOPER FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA COOPER (OWNER)
(949) 784-9853
Entity
Organization
Contact information
Practice address
20122 SANTA ANA AVE APT 9C, NEWPORT BEACH, CA 92660-1360
(949) 784-9853
Mailing address
20122 SANTA ANA AVE APT 9C, NEWPORT BEACH, CA 92660-1360
(949) 784-9853
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8025
CA
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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