Individual
ALYSSA RAE COCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2310 CALIFORNIA RD, ELKHART, IN 46514-1228
(574) 264-0791
Mailing address
8 N TEXAS AVE, GREENVILLE, SC 29611-5034
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
225X00000X
Occupational Therapist
Primary
31007983A
IN
Other
Enumeration date
08/19/2020
Last updated
03/14/2023
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