Individual
CODY COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 W MAIN ST, EL CENTRO, CA 92243-2212
(760) 337-1144
(760) 337-8259
Mailing address
317 N EL CAMINO REAL, SUITE 210, ENCINITAS, CA 92024-2811
(760) 634-0248
(760) 634-1782
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
43548
CA
Other
Enumeration date
03/30/2016
Last updated
03/30/2016
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