Individual
CARLY ALEXIS COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 MARION PKWY, SHERMAN, IL 62684
(217) 744-2299
Mailing address
1843 RIDGE RD APT 11, CHATHAM, IL 62629-2638
(573) 366-9222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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