Organization
NATALIE L COOKE LLC
Active
Other names
InMotion Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE G FORTNEY (ADMINISTRATIVE ASSISTANT)
(740) 525-7660
Entity
Organization
Contact information
Practice address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105-1081
(304) 295-7290
(304) 295-5922
Mailing address
1605 GRAND CENTRAL AVE, VIENNA, WV 26105-1081
(304) 295-7290
(304) 295-5922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1891160677
—
WV
Enumeration date
12/05/2015
Last updated
01/25/2024
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