Mr. KENNETH J. COOK OTA/L ⚕️ Idaho 1316281801

NPI	1316281801
Entity Type	Individual
Gender	Male
Sole Proprietor ?	Yes
Primary Taxonomy	224Z00000X Occupational Therapy Assistant (Licence: ID OTA-098)
Enumeration Date	2012-11-21
Last Update Date	2012-11-21

Mr. KENNETH J. COOK OTA/L

8211 W USTICK RD

BOISE, ID 83704-5756

Phone number: 208-375-3700

Mr. KENNETH J. COOK OTA/L

3746 N TIPTON PL

MERIDIAN, ID 83646-6309

Phone number: 208-484-5050