Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 4141 | NM |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 14278 | CA |
NPI | 1518476381 |
---|---|
Provider Name | Erin Drew Cook |
First Address | Albuquerque, NM 87122-2239 |
Second Address | Albuquerque, NM 87122-2239 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/09/2017 |
Last Update Date | 19/01/2021 |