Individual
MR. TIMOTHY EARL COOK II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2003 COBB ST, THERAPY DEPARTMENT, FARMVILLE, VA 23901-2603
(434) 392-6106
(434) 395-7095
Mailing address
303 SUNCHASE BLVD, APT H, FARMVILLE, VA 23901-2983
(304) 416-0387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602613
VA
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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