Provider Demographics
NPI:1316658693
Name:COOK, JESSICA JANA (OT)
Entity type:Individual
Prefix:MRS
First Name:JESSICA
Middle Name:JANA
Last Name:COOK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:JESSICA
Other - Middle Name:JANA
Other - Last Name:WRASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:5445 ALI DR DEPT 600
Mailing Address - Street 2:
Mailing Address - City:GRAND BLANC
Mailing Address - State:MI
Mailing Address - Zip Code:48439-5195
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5445 ALI DR DEPT 600
Practice Address - Street 2:
Practice Address - City:GRAND BLANC
Practice Address - State:MI
Practice Address - Zip Code:48439-5195
Practice Address - Country:US
Practice Address - Phone:888-246-6322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist