Provider Demographics
NPI:1437638814
Name:COOK, ALISON ERIN (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:ALISON
Middle Name:ERIN
Last Name:COOK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:DR
Other - First Name:ALISON
Other - Middle Name:ERIN
Other - Last Name:ROSKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:7040 MONTNA DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-2413
Mailing Address - Country:US
Mailing Address - Phone:415-745-5844
Mailing Address - Fax:
Practice Address - Street 1:10 CONSTITUTION DR STE A
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95973-4903
Practice Address - Country:US
Practice Address - Phone:530-895-0462
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-07
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292187225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist