Individual
BRAD COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 S WADSWORTH BLVD UNIT F107, LAKEWOOD, CO 80227-5123
(303) 980-6762
Mailing address
18 WILLOWLEAF DR, LITTLETON, CO 80127-4351
(303) 972-9197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3848
LICENSE#
CO
Enumeration date
08/30/2006
Last updated
07/08/2007
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