Individual
MADELINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
130 N MAIN ST, LAKE CITY, MI 49651-5103
(269) 430-3139
Mailing address
130 N MAIN ST, PO BOX 147, LAKE CITY, MI 49651-5103
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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