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Individual
MICHELLE A COOK
Active
Individual
MICHELLE A COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012191-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0213081
TAX ID
NY
Enumeration date
09/08/2008
Last updated
10/13/2017
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