Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN GAYLE COOPER, OTR/L
Active Sole ProprietorSUSAN GAYLE COOPER, OTR/L is a Pediatric Occupational Therapist healthcare provider located in HAILEY, Idaho. NPI 1588222590 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · HAILEY, ID
Registration Details
- NPI Number
- 1588222590
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2019 (7.1664501192883 yrs)
- Last Updated
- Jul 2, 2024
- License
-
OT-475 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1050 FOX ACRES RDHAILEY, ID, 833338456Browse ID providers · Browse ZIP 83333
- Phone
- 2087203729
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Pediatric Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.