Individual
MS. JESSICA ANN COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
117 N 25TH ST, WILMINGTON, NC 28405-2942
(336) 420-2887
Mailing address
117 N 25TH ST, WILMINGTON, NC 28405-2942
(336) 420-2887
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6879
NC
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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