Doctor Name: | DR. ANDREW SAMUEL COOK |
NPI Number: | 1033548763 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 012818 |
Business Practice Address: | 4627 Carlynn Dr Unit B Blue Ash, OH - 452412202 |
Business Phone Number: | 3037100515 |
Business Fax Number: | |
Mailing Address: | 5600 Whispering Way, SPRINGBORO |
State: | OH |
Postal Code: | 450667407 |
Phone Number: | 3037100515 |
Fax Number: | |
NPI Enumeration Date: | 11/04/2013 |
NPI Last Update Date: | 11/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 012818 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |