Individual
ADAM B COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1508 VERBENA WAY, ROSEVILLE, CA 95747-6738
(530) 307-1426
Mailing address
1508 VERBENA WAY, ROSEVILLE, CA 95747-6738
(530) 307-1426
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
08/24/2018
Last updated
08/24/2018
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