Individual
MADONNA MARIAN MALACARNE- COOKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
Mailing address
204 E HWY K, PO BOX 128, LADDONIA, MO 63352-0128
(407) 529-4862
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00001225
WA
Other
Enumeration date
03/27/2007
Last updated
07/08/2007
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