Individual
MR. BRAD K COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1460 SILVERSTONE TRL APT 9, DE PERE, WI 54115-7929
(907) 250-1673
Mailing address
1460 SILVERSTONE TRL APT 9, DE PERE, WI 54115-7929
(907) 250-1673
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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