Individual
JENNIFER ELAINE COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
20794 US HIGHWAY 61, SIKESTON, MO 63801-7260
(573) 471-2686
Mailing address
702 MO-34, MARBLE HILL, MO 63764
(573) 208-6574
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2018023293
MO
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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