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Individual

DEBRA ANN COOKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1904 ATLANTIC AVE, MANASQUAN, NJ 08736-1006
(732) 528-1010
(732) 528-2139
Mailing address
981 US HIGHWAY 22 FL 2, BRIDGEWATER, NJ 08807-2946
(201) 801-7141

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00896600
NJ
2251X0800X
Orthopedic Physical Therapist
40QA00896600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00323751
RR MEDICARE
NJ
Enumeration date
06/14/2006
Last updated
06/09/2022
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