Individual
SUSAN MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 S MAIN ST STE 220, 248, PLYMOUTH, MI 48170-5436
(773) 549-5294
Mailing address
705 S MAIN ST STE 220, PLYMOUTH, MI 48170-5436
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004386A
IN
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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