ANTONIO DESHUN COOK

BELDEN, MS
NPI1497803944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MS  OT2248)
Additional Taxonomies225200000X Physical Therapy Assistant
(Licence: MS  PTA3621)
Enumeration Date2007-01-08
Last Update Date2011-07-06
Business Address
Mr. ANTONIO DESHUN COOK OTR/L
3384 FOREST HILL DR
BELDEN, MS 38826-9442
Phone number: 662-871-2080
Mailing Address
Mr. ANTONIO DESHUN COOK OTR/L
3384 FOREST HILL DR
BELDEN, MS 38826-9442
Phone number: 662-871-2080