Individual
MICHELLE A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
26932 OSO PKWY STE 260, MISSION VIEJO, CA 92691-5810
(949) 582-8800
(949) 582-5127
Mailing address
22866 HUNTER CRK, MISSION VIEJO, CA 92692-4744
(949) 547-9535
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA5194
CA
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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