Individual
MISS LAUREL JEAN COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
Mailing address
30 OLD LYMAN RD, SOUTH HADLEY, MA 01075-2630
(413) 533-7140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9467
MA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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