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Individual

DOUGLAS PAUL COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
220 MAIN ST, SUMMERSVILLE, WV 26651-1316
(304) 872-3915
Mailing address
220 MAIN ST, SUMMERSVILLE, WV 26651-1316
(304) 872-3915

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001544
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7302306000
WV
Enumeration date
12/14/2006
Last updated
07/08/2007
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