Individual
KATHERINE COOKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
250 LANGLEY DR, SUITE 1312, LAWRENCEVILLE, GA 30045-6932
(678) 315-0762
Mailing address
963 HAWK CREEK TRL, LAWRENCEVILLE, GA 30043-3477
(678) 315-0762
(770) 513-7706
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT001328
GA
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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