Individual
JESSICA ELIZABETH COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
4603 TIMBERWALK CT, LA GRANGE, KY 40031-6746
(502) 645-5075
Mailing address
3903 HEAVENLY WAY, LOUISVILLE, KY 40272-2910
(502) 645-5075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
175141
KY
Other
Enumeration date
01/03/2018
Last updated
03/26/2020
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