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NPI Code Detail

MEDICARE: RICHARD COOKE III

MEDICARE: RICHARD COOKE III
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOT01582RI

General Provider Information

NPI Number : 1437605839
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD COOKE III
Provider Business Mailing Address
First Line : 546 MAIN ST
Second Line :
City : COVENTRY
State : RI
Zip : 02816-7852
Country : US
Telephone Number : 401-821-6837
Fax Number :
Provider Business Practice Location Address
First Line : 546 MAIN ST
Second Line :
City : COVENTRY
State : RI
Zip : 02816-7852
Country : US
Telephone Number : 401-821-6837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2016
Last Update Date : 08/26/2016

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Directions to “ RICHARD COOKE III ” Practice Location

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