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Individual

JULIA COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
262 N BROADMOOR BLVD, SPRINGFIELD, OH 45504-1120
(937) 869-8386
Mailing address
504 COLONY TRL, NEW CARLISLE, OH 45344-8561

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
04501
OH
225X00000X
Occupational Therapist
Primary
OH013117
OH

Other

Enumeration date
08/19/2014
Last updated
08/19/2025
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