Individual
ALYSSA NOEL COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
Mailing address
1001 N 500 W, PROVO, UT 84604-3305
(801) 377-9661
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10436549-4201
UT
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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