Individual
SHANNON COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
926 EAST E, HASTINGS, NE 68902
(402) 463-3181
Mailing address
236 S KIMBALL, GRAND ISLAND, NE 68801
(308) 390-9698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
966
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
966
DEPARTMENT OF HEALTH AND HUMAN SERVICES DIVISION OF PUBLIC HEALTH
NE
Enumeration date
10/15/2015
Last updated
10/15/2015
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