Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225100000X | Physical Therapist | 1221275 | TX |
N | 2251G0304X | Physical Therapist - Geriatrics | 1221275 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1221275 | TX |
Y | 2251X0800X | Physical Therapist - Orthopedic | 1221275 | TX |
NPI | 1255730933 |
---|---|
Provider Name | Dr. Chinetra C Cook |
First Address | Houston, TX 77056-4633 |
Second Address | Houston, TX 77007-1912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2014 |
Last Update Date | 19/08/2014 |