Individual
MRS. KAREN WINSTEAD COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Mailing address
630 N FODALE AVE, SOUTHPORT, NC 28461-3538
(910) 457-9581
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5190
NC
Other
Enumeration date
12/01/2008
Last updated
12/01/2008
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