Individual
COOPER NOBLE THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1917 N LAKEWOOD DR, COEUR D ALENE, ID 83814-2634
(208) 827-6120
Mailing address
3221 N 4TH ST, COEUR D ALENE, ID 83815-3713
(208) 827-6120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7771146
ID
261QP2000X
Physical Therapy Clinic/Center
7771146
ID
Other
Enumeration date
02/19/2025
Last updated
03/28/2025
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