Individual
JODY COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OT
Contact information
Practice address
5225 W VLIET ST, MILWAUKEE, WI 53208-2627
(414) 604-7636
Mailing address
3730 S 95TH ST, MILWAUKEE, WI 53228-1435
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3224-026
WI
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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