Individual
GABRIELLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
115 W EAGLE RD, HAVERTOWN, PA 19083-2272
(484) 452-9400
Mailing address
115 W EAGLE RD, HAVERTOWN, PA 19083-2272
(484) 452-9400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9115708
FL
Other
Enumeration date
02/22/2022
Last updated
02/19/2024
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