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Individual

MRS. SHANNA M COCHRAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
704 BRADDOCK AVE, BRADDOCK, PA 15104-1812
(412) 727-7689
Mailing address
124 LANFORD DR, PITTSBURGH, PA 15235-1856
(412) 727-7689

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
PA
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PA
335E00000X
Prosthetic/Orthotic Supplier
PA

Other

Enumeration date
01/11/2021
Last updated
01/09/2024
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