Individual
KRISTEN ELIZABETH MCCOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
75 RED GATE TRL, CANTON, GA 30115-7525
(678) 494-6616
Mailing address
1704 WINSTON CT, WOODSTOCK, GA 30189-3573
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT013021
GA
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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