Individual
MS. AIMY CAROLINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHS, PT
Contact information
Practice address
202 MEDINAH DR, EASLEY, SC 29642-3128
(864) 414-0496
Mailing address
202 MEDINAH DR, EASLEY, SC 29642-3128
(864) 414-0496
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3018
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902131527
—
SC
Enumeration date
10/15/2009
Last updated
12/12/2014
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