Individual
MEGAN S COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
14985 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-9477
(904) 858-7045
(904) 858-7047
Mailing address
14985 OLD SAINT AUGUSTINE RD, JACKSONVILLE, FL 32258-9477
(904) 288-9491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA72262
FL
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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