Individual
EILEEN COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3401 CEDAR AVE, LONG BEACH, CA 90807-4422
(562) 426-4461
Mailing address
2424 CABRILLO AVE, TORRANCE, CA 90501-4621
(213) 422-2882
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA11142
CA
Other
Enumeration date
12/22/2018
Last updated
12/22/2018
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