Jim Cooper

NPI #1033548367 in Bloomington, Illinois

Provider Information

NPI Number: 1033548367
Entity Type: Individual
Name: Jim Cooper
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Nov 7, 2013
Last Updated: Nov 7, 2013

Practice Location

Address: 2404 E EMPIRE ST
City: Bloomington
State: Illinois
ZIP Code: 61704-3630
Phone: (309) 663-8275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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