Individual
KELSEY ELIZABETH COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
4150 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-3605
(616) 913-2006
Mailing address
2048 DAWSON AVE NE, GRAND RAPIDS, MI 49505-4459
(248) 515-3467
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201008616
MI
Other
Enumeration date
07/13/2018
Last updated
08/05/2024
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