Individual
TINA MARIE COOPERRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC.
Contact information
Practice address
436 S MARKET ST, LOUDONVILLE, OH 44842-1446
(567) 217-1144
Mailing address
808 W MAIN ST, LOUDONVILLE, OH 44842-9551
(419) 606-1455
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
65.000216
OH
Other
Enumeration date
06/01/2012
Last updated
07/02/2025
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