Individual
BARBARA LIESBETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006629
VA
225X00000X
Occupational Therapist
31004275A
IN
225XH1200X
Hand Occupational Therapist
31004275A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388066
ANTHEM HEALTH PLAN
—
05
—
200809530
—
IN
Enumeration date
09/15/2006
Last updated
06/01/2020
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