Individual
TIANA NICOLE COOK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
D.P.T.
Contact information
Practice address
5728 S 1475 E, SUITE 102, OGDEN, UT 84403-4833
(801) 479-4471
Mailing address
288 W 25 S, CLEARFIELD, UT 84015-9272
(801) 698-2239
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4996392-2401
UT
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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