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Individual

MRS. RITA MICHELLE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
13848 SE CARLTON ST, PORTLAND, OR 97236-4478
(503) 762-0317
Mailing address
13848 SE CARLTON ST, PORTLAND, OR 97236-4478
(503) 762-0317

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
8086
OR

Other

Enumeration date
01/04/2008
Last updated
01/04/2008
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