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Individual

STACY V COOK

Active
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Individual

STACY V COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L, CHT

Taxonomy

Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
225X00000X
Occupational Therapist
4803
CA
225XE1200X
Ergonomics Occupational Therapist
Primary
225XH1200X
Hand Occupational Therapist
9611000317
CA
225XN1300X
Neurorehabilitation Occupational Therapist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4803
CBOT
CA
01
915259
NBCOT
01
9611000317
CHT LICENSE
CA
Enumeration date
10/13/2006
Last updated
09/11/2025
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