Individual
WILLIAM COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
119 SE WILSON AVE, BEND, OR 97702-1714
(720) 233-5410
Mailing address
119 SE WILSON AVE, BEND, OR 97702-1714
(720) 233-5410
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5359
OR
225100000X
Physical Therapist
Primary
PTL.0007673
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5359
OREGON PT LICENSE
OR
01
—
PTL.0007673
NPI
CO
Enumeration date
05/08/2013
Last updated
04/06/2023
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