Individual
AMY COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1207 HUNTSVILLE ROAD, SHAVERTOWN, PA 18708
(570) 690-4841
Mailing address
1207 HUNTSVILLE RD, SHAVERTOWN, PA 18708-9109
(570) 690-4841
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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