Individual
GLORIA COOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 UNIVERSAL CITY PLZ, UNIVERSAL CITY, CA 91608-1002
(469) 682-3087
Mailing address
920 WESTCOTT ST APT 359, HOUSTON, TX 77007-5921
(469) 682-3087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215280
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
Enumeration date
08/24/2022
Last updated
08/24/2022
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