Individual
MR. MICHAEL ANTHONY COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
134 TRAILWAY DR, ABILENE, TX 79601-2726
(505) 312-2332
Mailing address
134 TRAILWAY DR, ABILENE, TX 79601-2726
(505) 312-2332
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213251
TX
Other
Enumeration date
08/13/2019
Last updated
08/13/2019
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