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Individual
MR. ROBERT JAMES COOK
Active
Individual
MR. ROBERT JAMES COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501005257
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650B910430
BCBS PROVIDER ID
MI
Enumeration date
03/30/2007
Last updated
03/17/2013
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