Individual
MRS. JESSICA ELISE COOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
462 GRIDER ST, BUFFALO, NY 14215-3098
(716) 898-3225
(716) 898-3259
Mailing address
64 CHIPMAN PL, NORTH TONAWANDA, NY 14120-4303
(716) 909-4175
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
018207-01
NY
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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