Individual
KAYLEE JEAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
515 HARRISON AVE STE A, CENTRALIA, WA 98531-1300
(608) 702-4733
(360) 312-4204
Mailing address
27238 WEBSTER RD E, GRAHAM, WA 98338-9350
(253) 691-3218
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61257276
WA
Other
Enumeration date
11/01/2017
Last updated
01/04/2024
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