Individual
BRENT LANE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPT
Contact information
Practice address
CENTRAL REHABILITATION, LTD, 950 OFFICE PARK ROAD, SUITE 100, WEST DES MOINES, IA 50265
(515) 224-0979
(515) 223-3862
Mailing address
3404 HILLSIDE DRIVE, URBANDALE, IA 50322
(515) 278-1707
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01362
IA
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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