Cooper, Jamie Lynn

Cooper, Jamie Lynn is an individual health care provider with primary practice located at 1790 Sw 43Rd Way , Fort Lauderdale FL 33317-5701. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Cooper, Jamie Lynn can be contacted via phone (855) 442-2454.

Contact Information

Primary practice address
1790 Sw 43Rd Way Fort Lauderdale FL 33317-5701
Phone: (855) 442-2454
Fax: (954) 206-7699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT28526 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT28526 Florida

Profile Details

NPI number 1417408592
LBN Legal business name Cooper, Jamie Lynn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2016
Last updated Nov 21st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417408592 NPPES
Florida MEDICAID 019111000

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