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1487012233
REBECCA COOK
EAGLE, ID
NPI
1487012233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: ID 1375)
Enumeration Date
2016-02-09
Last Update Date
2016-02-09
Business Address
REBECCA COOK COTA/L
449 S FITNESS PL
EAGLE, ID 83616-6828
Phone number: 208-957-6301
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Mailing Address
REBECCA COOK COTA/L
449 S FITNESS PL
EAGLE, ID 83616-6828
Phone number: 208-957-6301
Copy
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