Individual
WILLIAM COTTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
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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