Doctor Name: | MR. WILLIAM JAMES COOKE |
NPI Number: | 1407106644 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 070.000602 |
Business Practice Address: | 200 Laird Ln Watseka, IL - 609707568 |
Business Phone Number: | 8154322051 |
Business Fax Number: | 8154322069 |
Mailing Address: | 200 Laird Ln, WATSEKA |
State: | IL |
Postal Code: | 609707568 |
Phone Number: | 8154322051 |
Fax Number: | 8154322069 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 09/14/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 070.000602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |