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Kenneth Lee Cook

Physical Therapy Assistant in Downey, CA. Individual provider (NPI-1).

NPI number1235691908
StatusActive
Last updated in NPPESApr 2, 2019

Details

NPI
1235691908
Entity type
Individual (NPI-1)
Name
Kenneth Lee Cook
Sex
Male
Sole proprietor
No
Enumeration date
Apr 2, 2019
Last updated
Apr 2, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantPTA2110CAYes

Practice location

7601 Imperial Hwy
Downey, CA 90242-3456

Phone 562-385-6237

Mailing address

7601 Imperial Hwy
Downey, CA 90242-3456

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