Individual
LYSIA ROSE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4160 LITTLE YORK RD STE 10, DAYTON, OH 45414-5803
(937) 415-9100
(937) 415-9191
Mailing address
6551 CENTERVILLE BUSINESS PKWY STE 120, CENTERVILLE, OH 45459-2696
(937) 415-9100
(937) 415-9191
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP048601T
OH
225100000X
Physical Therapist
PT032024
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0152483
—
OH
Enumeration date
02/06/2024
Last updated
12/09/2025
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