| NPI | 1235193202 |
|---|---|
| Former Name | ANDREA COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WV 003353) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: PA PT015920) |
| 225100000X Physical Therapist (Licence: SC 6410) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2022-07-21 |