Individual
DATY H COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4036 HIGHWAY 8, CLEVELAND, MS 38732-8551
(662) 843-4014
(662) 843-5401
Mailing address
2 CAROLINE CV, CLEVELAND, MS 38732-6602
(662) 822-4500
(662) 843-5401
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT1506
MS
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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