Doctor Name: | MRS. PAULA D. COOPER |
NPI Number: | 1629120357 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | MA0007650 |
Business Practice Address: | 2010 Edgewater Dr Orlando, FL - 328045312 |
Business Phone Number: | 4074230038 |
Business Fax Number: | 4078496084 |
Mailing Address: | 2832 Charing Cross Way, ORLANDO |
State: | FL |
Postal Code: | 328379112 |
Phone Number: | 4074380065 |
Fax Number: | 4074380065 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | MA0007650 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |