Individual
MRS. ANA AMADEU MCCOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
371 NOAH DR, SUITE 102, JASPER, GA 30143-8708
(706) 253-6287
(706) 253-6289
Mailing address
124 CREEKWOOD DR, WOODSTOCK, GA 30188-3794
(706) 253-6287
(706) 253-6289
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010009
GA
Other
Enumeration date
08/11/2010
Last updated
08/11/2010
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