Individual
CHRISTINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16102 N. FLORIDA AVE., TAMPA, FL 33549
(813) 873-1936
(727) 350-9665
Mailing address
10208 ESTERO BAY LN, TAMPA, FL 33625-3734
(813) 748-3779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA12810
FL
235Z00000X
Speech-Language Pathologist
SZ6113
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007981800
—
FL
05
—
017436000
—
FL
Enumeration date
01/21/2013
Last updated
12/14/2018
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