Individual
MRS. GAIL HUGHMARK COOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
764 RUE CALAIS, MANDEVILLE, LA 70471-1201
(985) 674-1610
Mailing address
764 RUE CALAIS, MANDEVILLE, LA 70471-1201
(985) 674-1610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00585
LA
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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