Individual
JULIE JORDAN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
808 S GARFIELD AVE STE A, TRAVERSE CITY, MI 49686-3464
(231) 929-2354
Mailing address
PO BOX 674779, DETROIT, MI 48267-4779
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
5201000051
MI
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
5201000051
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255769188
—
MI
Enumeration date
11/01/2013
Last updated
10/05/2017
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