Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1881 | AL |
NPI | 1003309584 |
---|---|
Provider Name | Pamela L Cook |
First Address | Pelham, AL 35124-2217 |
Second Address | Huntsville, AL 35810 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2018 |
Last Update Date | 13/08/2020 |