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Individual

MICHAEL COOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
1715 WOODCHASE BLVD, BATON ROUGE, LA 70808-5219
(225) 620-2461
Mailing address
1715 WOODCHASE BLVD, BATON ROUGE, LA 70808-5219
(225) 620-2461

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OTT.Z11910
LA
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OTT.Z11910
LA

Other

Enumeration date
04/13/2023
Last updated
04/13/2023
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