Individual
NATALIE L COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105-1081
(304) 295-7290
(304) 295-5922
Mailing address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105-1081
(304) 295-7290
(304) 295-5922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003177
WV
225100000X
Physical Therapist
PT022275
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720336183
—
WV
Enumeration date
08/16/2012
Last updated
11/05/2022
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