Individual
ALYSE COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1149 W 190TH ST STE 2300, GARDENA, CA 90248-4350
(310) 892-5812
Mailing address
22508 LEYTE DR, TORRANCE, CA 90505-2130
(325) 260-8976
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
23479
CA
Other
Enumeration date
07/14/2021
Last updated
11/24/2025
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