Cook, Susan Gerald

Cook, Susan Gerald is an individual health care provider with primary practice located at 1045 Old Mill Trce , Monroe GA 30656-4379. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cook, Susan Gerald can be contacted via phone (770) 207-6390.

Contact Information

Primary practice address
1045 Old Mill Trce Monroe GA 30656-4379
Phone: (770) 207-6390
Fax: (678) 374-4855
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5588 Georgia

Profile Details

NPI number 1295775955
LBN Legal business name Cook, Susan Gerald
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 9th, 2007 - about 18 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 1295775955 NPPES
Georgia MEDICAID 000875102B

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