Individual provider · NPI-1

Jeffery William Cook, MSPT

Physical Therapist · Dublin, GA

NPI number1649374828
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1649374828
Entity type
Individual (NPI-1)
Name
Mr. Jeffery William Cook
Credential
MSPT
Sex
Male
Sole proprietor
No
Enumeration date
Sep 11, 2006
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT007971GAYes

Practice location

101 Fairview Park Dr
Dublin, GA 31021-2501

Phone 478-272-7494 · Fax 478-272-2616

Mailing address

101 Fairview Park Dr
Dublin, GA 31021-2501

Phone 478-272-7494 · Fax 478-272-2616

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