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1447657085
MATTHEW COOK
RUSSELLVILLE, AR
NPI
1447657085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: AR PTA3821)
Enumeration Date
2014-11-25
Last Update Date
2014-11-25
Business Address
-- MATTHEW COOK PTA
1915 W MAIN ST
RUSSELLVILLE, AR 72801-2725
Phone number: 479-968-1198
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Mailing Address
-- MATTHEW COOK PTA
500 E 3RD ST
RUSSELLVILLE, AR 72801-5204
Phone number: 479-968-1198
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