CRYSTAL J COOK

RIDGELAND, MS
NPI1073702593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MS  PTA3389)
Enumeration Date2007-10-21
Last Update Date2007-10-21
Business Address
-- CRYSTAL J COOK LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
Mailing Address
-- CRYSTAL J COOK LPTA
711 AVIGNON DR
RIDGELAND, MS 39157-5120
Phone number: 601-605-6777
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