Individual
LINDA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
900 NE 27TH ST, BEND, OR 97701-9548
(541) 382-0479
Mailing address
2080 NE VERONICA LN, BEND, OR 97701-6538
(541) 306-1332
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8333
OR
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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