Individual
JESSICA A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
147 REINHARDT COLLEGE PKWY, SUITE 9, CANTON, GA 30114-5641
(770) 345-3057
(770) 345-3154
Mailing address
147 REINHARDT COLLEGE PKWY, SUITE 9, CANTON, GA 30114-5641
(770) 345-3057
(770) 345-3154
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA003073
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA003073
PTA LICENSE
GA
Enumeration date
03/14/2013
Last updated
03/14/2013
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