Provider Demographics
NPI:1629186309
Name:COOKE- MCALLISTER, ERIN (PT)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:COOKE- MCALLISTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 GORHAM RD
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-9558
Mailing Address - Country:US
Mailing Address - Phone:207-289-6001
Mailing Address - Fax:833-672-3408
Practice Address - Street 1:245 GORHAM RD
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-9558
Practice Address - Country:US
Practice Address - Phone:207-289-6001
Practice Address - Fax:833-672-3408
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2022-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
MEPT2943225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEPT2943OtherLICENSE