Individual
KELLY COCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Contact information
Practice address
30100 TELEGRAPH RD STE 140, BINGHAM FARMS, MI 48025-4516
(248) 385-0030
(248) 849-9980
Mailing address
33900 HARPER AVE STE 104, CLINTON TWP, MI 48035-4258
(586) 350-2644
(586) 541-3735
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
31005630A
IN
225X00000X
Occupational Therapist
Primary
5201009884
MI
Other
Enumeration date
05/22/2015
Last updated
05/13/2019
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