Individual
MRS. MARY WHITNEY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, MS OT
Contact information
Practice address
1915 JACKS CREEK RD, RICHMOND, KY 40475-9470
(859) 749-2674
Mailing address
1915 JACKS CREEK RD, RICHMOND, KY 40475-9470
(859) 749-2674
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
BOTOCT00194852
KY
Other
Enumeration date
11/12/2014
Last updated
09/20/2016
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