Individual
KARLA ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, ATC
Contact information
Practice address
950 NANDINA ST, SWEET HOME, OR 97386-1522
(541) 367-2191
(541) 367-2630
Mailing address
950 NANDINA ST, SWEET HOME, OR 97386-1522
(541) 367-2191
(541) 367-2630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8775
OR
2255A2300X
Athletic Trainer
AT-AT-1007106
OR
Other
Enumeration date
04/12/2007
Last updated
10/12/2012
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