Individual
MR. TIM COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 674-2241
(248) 618-8085
Mailing address
2300 WATKINS LAKE RD, WATERFORD, MI 48328-1439
(248) 674-2241
(248) 618-8085
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/11/2008
Last updated
09/11/2008
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