MEDICARE: AMY E COOK PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	10686	NC

General Provider Information

NPI Number	:	1548578545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E COOK PT

Provider Business Mailing Address
First Line	:	404 IRONWOODS DR
Second Line	:
City	:	CHAPEL HILL
State	:	NC
Zip	:	27516-8726
Country	:	US
Telephone Number	:	330-498-9823
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 EMERALD POND LN
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27705-6051
Country	:	US
Telephone Number	:	919-401-6092
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2010
Last Update Date	:	02/07/2017

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Directions to “ AMY E COOK PT” Practice Location

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