Individual
BRENDA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 NORTH ST, ANNEX B, NIXA, MO 65714
(417) 724-4040
(417) 724-4039
Mailing address
205 NORTH ST, ANNEX B, NIXA, MO 65714
(417) 724-4040
(417) 724-4039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2002008816
MO
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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