Individual
COOPER CHRISTIAN FIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070029063
IL
225100000X
Physical Therapist
306829
CA
225100000X
Physical Therapist
Primary
—
IL
2251X0800X
Orthopedic Physical Therapist
12028
SC
Other
Enumeration date
08/29/2023
Last updated
05/06/2026
Update your record
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