Individual
HEATHER LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 DAWN DRIVE STE. 2300, LUMBERTON, NC 28360
(910) 738-1065
(910) 738-5143
Mailing address
1527 ROUGH RIDER LANE, PARKTON, NC 28371
(405) 517-0747
(910) 738-5143
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2570
NC
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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