Individual
MRS. JANA COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2543 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4925
(334) 701-9332
Mailing address
2543 ROSS CLARK CIR, SUITE 4, DOTHAN, AL 36301-4925
(334) 701-9332
(334) 699-1308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2652
AL
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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