Organization
COOK PHYSICAL THERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK D COOK PT (OWNER PHYSICAL THERAPIST)
(315) 329-7400
Entity
Organization
Contact information
Practice address
4305 MEDICAL CENTER DR, STE 4305, FAYETTEVILLE, NY 13066-6638
(315) 329-7400
(315) 329-7403
Mailing address
4305 MEDICAL CENTER DR, STE 4305, FAYETTEVILLE, NY 13066-6638
(315) 329-7400
(315) 329-7403
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/07/2005
Last updated
09/13/2007
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