Susan Gayle Cooper, OTR | |
442 Main St, Gooding, ID 83330-1305 | |
(208) 725-3680 | |
(208) 595-2276 |
Full Name | Susan Gayle Cooper |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 442 Main St, Gooding, Idaho |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588222590 | NPI | - | NPPES |
OT-475 | Other | ID | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT-475 (Idaho) | Primary |
Mailing Address | Practice Location Address |
---|---|
Susan Gayle Cooper, OTR Po Box 3166, Hailey, ID 83333-3166 Ph: () - | Susan Gayle Cooper, OTR 442 Main St, Gooding, ID 83330-1305 Ph: (208) 725-3680 |
Connie Vankleeck, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1695 State Highway 46, Gooding, ID 83330 Phone: 208-539-4186 | |
Lisa D Boggs, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1220 Montana St, Gooding, ID 83330 Phone: 208-934-5601 | |
Tyler Mcomber, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 267 N Canyon Dr, Gooding, ID 83330 Phone: 208-934-9693 | |
Cheyanna Christine Lierman, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 267 N. Canyon Drive, Gooding, ID 83330 Phone: 208-934-8766 |