Individual provider · Type 1 NPI

Jim Cooper

Developmental Therapist · Bloomington, IL

NPI number 1033548367 Active

Practice location

2404 E Empire St
Bloomington, IL 61704-3630

Call (309) 663-8275 Map

Fax (309) 662-7872

Mailing address

507 E Armstrong Ave
Peoria, IL 61603-3201

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1033548367

Jim Cooper's National Provider Identifier is 1033548367, issued on Nov 7, 2013. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Bloomington, IL. The record was last updated on Nov 7, 2013.