Elizabeth Grace Cooke, BS, BIS, CS

NPI #1790482693 in Lewiston, Idaho

Provider Information

NPI Number: 1790482693
Entity Type: Individual
Name: Elizabeth Grace Cooke, BS, BIS, CS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Developmental Therapist
Credential: BS, BIS, CS
Enumeration Date: Feb 10, 2023
Last Updated: Feb 10, 2023

Practice Location

Address: 1519 ALDER AVE
City: Lewiston
State: Idaho
ZIP Code: 83501-5815
Phone: (208) 503-9104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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