Individual
MS. SHENITA TRIVETTE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
660 MIX AVE, SUITE 5M, HAMDEN, CT 06514-2381
(203) 691-1706
Mailing address
8 RESEARCH PKWY, WALLINGFORD, CT 06492-1930
(203) 444-2577
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
006216
CT
Other
Enumeration date
04/01/2010
Last updated
04/01/2010
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