MEDICARE: KAITLYN COOK

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
1	225X00000X	Occupational Therapist	14388	NC

General Provider Information

NPI Number	:	1467392951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN COOK

Provider Business Mailing Address
First Line	:	2844 STERLING PARK DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-5806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6801 TURNER CREEK RD
Second Line	:
City	:	CARY
State	:	NC
Zip	:	27519-5664
Country	:	US
Telephone Number	:	919-431-7400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2026
Last Update Date	:	04/01/2026

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Directions to “ KAITLYN COOK ” Practice Location

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