Individual
MELINDA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LTM
Contact information
Practice address
1365 OAKFIELD DR, BRANDON, FL 33511-4841
(813) 689-2755
Mailing address
10603 FOXCREST WAY, RIVERVIEW, FL 33569-5784
(813) 689-2755
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA29951
FL
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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