Individual
ALICIA HOPE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
107 PILGRIM VILLAGE DR, SUITE 400-G, CUMMING, GA 30040-9239
(404) 518-6980
Mailing address
2700 PIERCE BRENNEN CT, LAWRENCEVILLE, GA 30043-1320
(404) 518-6980
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT009295
GA
Other
Enumeration date
10/30/2016
Last updated
10/30/2016
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