Individual
KATELYNN COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4022 E GREENWAY RD STE 1, PHOENIX, AZ 85032-4798
(480) 821-1997
Mailing address
1076 W CHANDLER BLVD STE 103, CHANDLER, AZ 85224-5223
(480) 821-1997
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-30710
AZ
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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