Individual provider · Type 1 NPI

Matasha Virdora Cook

Developmental Therapist · Chicago, IL

NPI number 1013750876 Active

Practice location

3236 W 64th St Fl 2
Chicago, IL 60629-2714

Specialties and licenses

TaxonomyCodeLicense
Developmental Therapist Primary 222Q00000XNone listed

Developmental Therapist: A Developmental Therapist is a person qualified by completion of an approved program in Developmental Therapy and where applicable credentialed by the state and practicing within the scope of the credential, or credentialed by completion of education experiences as approved by the state and practicing within the scope of that credential or, where state credentialing does not exist, certified by the Board of the Deve…

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About NPI 1013750876

Matasha Virdora Cook's National Provider Identifier is 1013750876, issued on Jun 18, 2024. The primary taxonomy on file is Developmental Therapist (222Q00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 18, 2024.