Individual
MS. MIRANDA NICHOLE COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA, L
Contact information
Practice address
803A INDEPENDENCE DR, MADISONVILLE, KY 42431-3151
(270) 875-5958
Mailing address
803A INDEPENDENCE DR, MADISONVILLE, KY 42431-3151
(270) 875-5958
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
401657
KY
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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