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CHRISTA JEAN COOK
>> Developmental Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1831323898
Individual Registrant: CHRISTA JEAN COOK
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
221 LINDLEY LN NEWPORT, AR 72112-4954 US
Tel: 870-523-2124 Fax: 870-523-5168
Tel: 870-523-2124 Fax: 870-523-5168
Contact information for business:
1 CHILDRENS WAY SLOT 900 LITTLE ROCK, AR 72202 US
Tel: 501-364-3620 Fax: 501-364-3994
Tel: 501-364-3620 Fax: 501-364-3994
Registration Information:
NPI: 1831323898
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 222Q00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Developmental Therapist |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
