Individual
ASHLEY COOKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
503 S 18TH ST, LARAMIE, WY 82070-4303
(636) 485-4483
(188) 854-3228
Mailing address
503 S 18TH ST, LARAMIE, WY 82070-4303
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1104
WY
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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