Individual
ANNIE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2472 S 300 E, SOUTH SALT LAKE, UT 84115-2895
(801) 499-0244
Mailing address
2472 S 300 E, SOUTH SALT LAKE, UT 84115-2895
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
14221958-4003
UT
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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