Individual
MARLA JEAN COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3961 E LOHMAN AVE STE 34, LAS CRUCES, NM 88011-8269
(575) 525-9960
Mailing address
1605 S TELSHOR BLVD, #B, LAS CRUCES, NM 88011-4861
(575) 642-1292
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
5230
NM
Other
Enumeration date
09/20/2012
Last updated
09/25/2012
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