Individual
JESSICA DENISE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
415 CROSSLAKE DR STE B, EVANSVILLE, IN 47715-8272
(812) 476-0409
(812) 476-1016
Mailing address
PO BOX 5629, EVANSVILLE, IN 47716-5629
(812) 759-7451
(812) 401-3259
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
070.018471
IL
225100000X
Physical Therapist
Primary
05014150A
IN
225100000X
Physical Therapist
070.018471
IL
Other
Enumeration date
07/19/2011
Last updated
05/18/2021
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