Individual
ANNETTE MARIE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 DAVENPORT, ITALY, TX 76651-3592
(254) 972-6369
Mailing address
220 DAVENPORT, ITALY, TX 76651-3592
(254) 972-6369
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2027118
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2027118
—
TX
Enumeration date
09/06/2018
Last updated
09/06/2018
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