Individual provider · NPI-1

Lisa S Cook, MA

Developmental Therapist · Charlotte, NC

NPI number1497993760
StatusActive
Last updated in NPPESJan 26, 2009

Details

NPI
1497993760
Entity type
Individual (NPI-1)
Name
Lisa S Cook
Credential
MA
Sex
Female
Sole proprietor
No
Enumeration date
Jan 26, 2009
Last updated
Jan 26, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
222Q00000X Developmental Therapist––Yes

Practice location

5023 Peco Rd
Charlotte, NC 28277-3468

Phone 704-995-2900 · Fax 704-846-2958

Mailing address

5023 Peco Rd
Charlotte, NC 28277-3468

Phone 704-995-2900 · Fax 704-846-2958

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