Individual
LAURA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40015 SIERRA HWY STE B280, PALMDALE, CA 93550-2143
(661) 810-2250
Mailing address
40015 SIERRA HWY STE B280, PALMDALE, CA 93550-2143
(661) 810-2250
(661) 266-1210
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95-2633765
MEDI-CAL
CA
Enumeration date
08/12/2015
Last updated
10/03/2025
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