| Doctor Name: | MR. THOMAS RUSSELL COOKSON |
| NPI Number: | 1023001344 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 8766 |
| Business Practice Address: | 100 Corporate Pl Suite 103 Peabody, MA - 019603865 |
| Business Phone Number: | 9785351213 |
| Business Fax Number: | 9785355510 |
| Mailing Address: | 100 Corporate Pl, Suite 103 PEABODY |
| State: | MA |
| Postal Code: | 019603865 |
| Phone Number: | 9785351213 |
| Fax Number: | 9785355510 |
| NPI Enumeration Date: | 08/23/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | 8766 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |