Individual
MR. SCOTT LEE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT
Contact information
Practice address
128 GODWIN HL, MSC 2301, HARRISONBURG, VA 22807-0001
(540) 568-6576
(540) 568-5351
Mailing address
128 GODWIN HL, MSC 2301, HARRISONBURG, VA 22807-0001
(540) 568-6576
(540) 568-5351
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
B042016505
VA
2255A2300X
Athletic Trainer
Primary
0126000626
VA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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