Individual
PAMELA L COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
805 E MAIN ST, RUSSELLVILLE, AR 72801-5249
(479) 890-5933
(479) 890-9373
Mailing address
805 E MAIN ST, RUSSELLVILLE, AR 72801-5249
(479) 890-5933
(479) 890-9373
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
10/10/2013
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