Cooper, Jeffrey W

Cooper, Jeffrey W is an individual health care provider with primary practice located at 2667 N Moorpark Rd #108, Thousand Oaks CA 91360-3001. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Cooper, Jeffrey W can be contacted via phone (805) 492-0429.

Contact Information

Primary practice address
2667 N Moorpark Rd #108 Thousand Oaks CA 91360-3001
Phone: (805) 492-0429
Fax: (805) 492-0308
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT26969 California

Profile Details

NPI number 1750317517
LBN Legal business name Cooper, Jeffrey W
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2006
Last updated May 23rd, 2008 - about 16 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 1750317517 NPPES
California Other PT26969 RPT LICENSE NUMBER

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