Individual
DEBORAH COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3675 SPRUCE DR, MYRTLE BEACH, SC 29577-5005
(843) 685-4981
Mailing address
3675 SPRUCE DR, MYRTLE BEACH, SC 29577-5005
(843) 685-4981
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT39
ME
174400000X
Specialist
PT2399
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007016
BLUE CROSS BLUE SHIELD
ME
01
—
7966435
CIGNA HEALTHCARE
ME
01
—
MN4071
HARVARD PILGRIM
ME
Enumeration date
06/26/2006
Last updated
09/11/2025
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