Individual
JESSICA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
12420 HEDGEAPPLE WAY, LOUISVILLE, KY 40272
(502) 644-5694
Mailing address
12420 HEDGEAPPLE WAY, LOUISVILLE, KY 40272-4477
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
136186
KY
Other
Enumeration date
06/08/2017
Last updated
06/08/2017
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