Jill Cooke

NPI 1083874994 · on the registry since 2008 · sole proprietor

Practice

Address: 6743 Fairway Dr E
Fayetteville, PA 17222
Phone: (717) 360-3989
Fax: (717) 352-8360
Organisation at this address: Childhood Early Intervention, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-06-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania