# MR. DUSTIN MICHAEL COOK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316947179
- **Gender:** Man
- **Credential:** MSPT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | CT00729 | CT | Yes |

## Other

- **Enumeration date:** 07/22/2005
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 080007229CT02 | ANTHEM BLUE CROSS BLUE SH | CT |
| 01 | — | ANC1555 | OXFORD | CT |