BRENT LANE COOPER

WEST DES MOINES, IA
NPI1639268576
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IA  01362)
Enumeration Date2006-10-11
Last Update Date2007-07-08
Business Address
-- BRENT LANE COOPER LPT
CENTRAL REHABILITATION, LTD 950 OFFICE PARK ROAD, SUITE 100
WEST DES MOINES, IA 50265
Phone number: 515-224-0979
Mailing Address
-- BRENT LANE COOPER LPT
3404 HILLSIDE DRIVE
URBANDALE, IA 50322
Phone number: 515-278-1707
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