Doctor Name: | STACY V COOK |
NPI Number: | 1205926912 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR/L, CHT |
License Number: | |
Business Practice Address: | 23586 Calabasas Rd Suite 206 Calabasas, CA - 913021319 |
Business Phone Number: | 8182243837 |
Business Fax Number: | 8182243847 |
Mailing Address: | 23586 Calabasas Rd, Suite 206 CALABASAS |
State: | CA |
Postal Code: | 913021319 |
Phone Number: | 8182243837 |
Fax Number: | 8182243847 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |