Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Rehabilitation |
261QR0400X | B4[14] | Rehabilitation Agency |
| NPI Number | 1467759696 |
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| LBN Legal business name | MCCOOK THERAPY | ||||
| Authorized official | AMY HEUMILLER - (OCCUPATIONAL THERAPIST) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 02/24/2011 | ||||
| Last updated | 03/14/2011 - About 15 years ago | ||||
| Identifiers |
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