Individual
DANIELLE IRENE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
570 OCEAN DR, 501, JUNO BEACH, FL 33408-1952
(954) 491-2225
(954) 491-6862
Mailing address
1750 NE 191ST ST, D111, NORTH MIAMI BEACH, FL 33179-4284
(786) 443-1017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA5361
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MA5361
LICENSED MASSAGE THERAPIST
FL
Enumeration date
07/22/2008
Last updated
07/22/2008
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