Individual
HALEY REBECCA COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 BRANDON AVE SW, ROANOKE, VA 24018-1441
(540) 776-2616
Mailing address
4091 BARLEY DR, SALEM, VA 24153-8518
(540) 330-7962
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2306602024
VA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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