Individual
CRYSTAL JOE COOPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1750 RINEHART RD, SANFORD, FL 32771-6590
(321) 578-8124
Mailing address
5645 LORD ST, MIMS, FL 32754-6908
(240) 320-4268
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA99772
FL
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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