Individual
RETINA COOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6841 CERMAK RD STE 9, BERWYN, IL 60402-2259
(708) 232-3187
Mailing address
6841 CERMAK RD STE 9, BERWYN, IL 60402-2259
(708) 232-3187
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.021432
IL
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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