Individual
EARL GRAYSON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT, OCS, CSCS
Contact information
Practice address
47 DEPOT STREET, CHATHAM, VA 24531-3352
(434) 432-0028
(434) 432-0062
Mailing address
1212 GARFIELD AVE, SUITE 200, PARKERSBURG, WV 26101-3247
(304) 865-6778
(304) 865-7400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005400
VA
225100000X
Physical Therapist
4747
NC
Other
Enumeration date
12/14/2010
Last updated
04/04/2012
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