Individual
MS. JENINE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
1835 E GUADALUPE RD, STE 103, TEMPE, AZ 85283-3277
(480) 456-0942
(480) 456-0956
Mailing address
601 W BELMONT AVE, PHOENIX, AZ 85021-7262
(602) 216-9475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0113
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
829294
—
AZ
Enumeration date
02/01/2007
Last updated
07/08/2007
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