Individual
MR. JONATHAN EVERETT COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L, CSRS
Contact information
Practice address
1521 JERUSALEM DR, ROUND ROCK, TX 78664-8617
(512) 422-4730
Mailing address
1521 JERUSALEM DR, ROUND ROCK, TX 78664-8617
(512) 422-4730
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216761
TX
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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