Cook, Jessica A

Cook, Jessica A is an individual health care provider with primary practice located at 147 Reinhardt College Pkwy Suite 9, Canton GA 30114-5641. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Cook, Jessica A can be contacted via phone (770) 345-3057.

Contact Information

Primary practice address
147 Reinhardt College Pkwy Suite 9 Canton GA 30114-5641
Phone: (770) 345-3057
Fax: (770) 345-3154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X PTA003073 Georgia

Profile Details

NPI number 1427399518
LBN Legal business name Cook, Jessica A
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2013
Last updated Mar 14th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427399518 NPPES
Georgia Other PTA003073 PTA LICENSE

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