MADONNA MARIAN MALACARNE- COOKE

CENTRALIA, WA
NPI1982722922
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WA  OC00001225)
Enumeration Date2007-03-27
Last Update Date2007-07-08
Business Address
-- MADONNA MARIAN MALACARNE- COOKE COTA
1509 HARRISON AVE
CENTRALIA, WA 98531-4568
Phone number: 360-736-0112
Mailing Address
-- MADONNA MARIAN MALACARNE- COOKE COTA
204 E HWY K PO BOX 128
LADDONIA, MO 63352-0128
Phone number: 407-529-4862