ROGER TERRY COOK

GRAYSVILLE, TN
NPI1164471801
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence: TN  PRO0000000083)
Enumeration Date2006-05-09
Last Update Date2007-12-18
Business Address
Mr. ROGER TERRY COOK CP
87 NELMS RD
GRAYSVILLE, TN 37338-4632
Phone number: 423-949-8620
Mailing Address
Mr. ROGER TERRY COOK CP
87 NELMS RD
GRAYSVILLE, TN 37338-4632
Phone number: 423-949-8620