Provider Demographics
NPI:1255525564
Name:COOK, PATRICK KENT (MPT)
Entity type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:KENT
Last Name:COOK
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7648 PICARDY AVE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70808-4335
Mailing Address - Country:US
Mailing Address - Phone:225-768-7676
Mailing Address - Fax:225-768-7373
Practice Address - Street 1:7648 PICARDY AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70808-4335
Practice Address - Country:US
Practice Address - Phone:225-768-7676
Practice Address - Fax:225-768-7373
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA07259225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist