Individual
GEORGINA COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR-L
Contact information
Practice address
2716 ORTHODOX ST, PHILADELPHIA, PA 19137-1604
(215) 743-4435
(215) 743-8848
Mailing address
515 S 12TH ST, APT. 5, PHILADELPHIA, PA 19147-1152
(215) 873-5563
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC008401
PA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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