Individual
HALEY COOPER-SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
8382 N WAYNE DR, HAYDEN, ID 83835-6028
(208) 758-0484
Mailing address
8382 N WAYNE DR, HAYDEN, ID 83835-6028
(208) 758-0484
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-3505
ID
Other
Enumeration date
04/01/2014
Last updated
04/01/2014
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