Individual
SAMANTHA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 MOREHOUSE AVE, ELKHART, IN 46517-2552
(574) 295-8800
Mailing address
15438 TUXEDO DR, PLYMOUTH, IN 46563-8589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46002432A
IN
Other
Enumeration date
03/05/2013
Last updated
03/05/2013
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