Individual
CLARA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1471 OLDE KENSINGTON LN, DELTONA, FL 32725-4755
(704) 726-7491
Mailing address
1471 OLDE KENSINGTON LN, DELTONA, FL 32725-4755
(704) 726-7491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
16504
NC
225700000X
Massage Therapist
Primary
MA97292
FL
225700000X
Massage Therapist
MAS12138
SC
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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