Individual
RUSSELL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1140 EAGLETREE LANE SE, HUNTSVILLE, AL 35801
(256) 883-0636
(256) 715-8913
Mailing address
1140 EAGLETREE LANE SE, HUNTSVILLE, AL 35801
(256) 883-0636
(256) 715-8913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH9552
AL
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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