Individual
RICHARD COOKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
546 MAIN ST, COVENTRY, RI 02816-7852
(401) 821-6837
Mailing address
546 MAIN ST, COVENTRY, RI 02816-7852
(401) 821-6837
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT01582
RI
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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