Individual
MRS. GRETCHEN COOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T./L
Contact information
Practice address
1111 KENTUCY AVE, WEST PLAINS, MO 65775
(417) 257-5959
Mailing address
9067 P. R. 6421, WEST PLAINS, MO 65775
(417) 257-0782
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003373
MO
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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