Individual
MRS. HEATHER COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1102 W VISTA AVE, PHOENIX, AZ 85021-8072
(602) 690-4233
Mailing address
1102 W VISTA AVE, PHOENIX, AZ 85021-8072
(602) 690-4233
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4173
AZ
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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