Organization
CASCADE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT J COOK MHS, PT (OWNER/PHYSICAL THERAPIST)
(360) 253-4767
Entity
Organization
Contact information
Practice address
406 SE 131ST AVE, STE 205B, VANCOUVER, WA 98683-4004
(360) 253-4767
(360) 892-9241
Mailing address
406 SE 131ST AVE, STE 205B, VANCOUVER, WA 98683-4004
(360) 253-4767
(360) 892-9241
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008235
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178532
DEPARTMENT OF LABOR AND INDUSTRIES
WA
05
—
7125206
—
WA
05
—
807220500
—
ID
Enumeration date
04/30/2008
Last updated
04/30/2008
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