Individual
MRS. CARRIE R. COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 PRAIRIE MILLS RD, GOLDEN, IL 62339-1016
(217) 696-4421
(217) 696-4393
Mailing address
2834 N 2200TH AVE, CLAYTON, IL 62324-2312
(217) 696-4881
(217) 696-4881
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
070004200
IL
Other
Enumeration date
09/14/2007
Last updated
09/15/2007
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