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Organization
MIND. BODY. SPIRIT. LLC
Active
Organization
MIND. BODY. SPIRIT. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORTNI COOPER DPT (DOCTOR OF PHYSICAL THERAPY)
(601) 529-8829
Entity
Organization
Contact information
Practice address
114 LINDA DR, VICKSBURG, MS 39180-8909
(601) 272-1756
(601) 272-1756
Mailing address
114 LINDA DR, VICKSBURG, MS 39180-8909
(601) 272-1756
(601) 272-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/29/2021
Last updated
09/13/2021
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