Individual
TIFFANY MACRINA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431
(253) 968-1110
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1110
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
4991
CT
225X00000X
Occupational Therapist
Primary
OT60885153
WA
Other
Enumeration date
07/26/2018
Last updated
11/04/2024
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