Individual
MISS CRYSTAL LYNN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
(580) 298-9822
Mailing address
402 W MAIN ST, ANTLERS, OK 74523-2087
(580) 298-9818
(580) 298-9822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1359
OK
Other
Enumeration date
03/19/2013
Last updated
04/15/2013
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