Individual
KEITAARON D COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
4447 KEYES AVE, SPRING HILL, FL 34606-1664
(352) 410-3426
Mailing address
4447 KEYES AVE, SPRING HILL, FL 34606-1664
(352) 410-3426
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
32488
FL
Other
Enumeration date
01/11/2023
Last updated
01/11/2023
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