Individual
DR. CHRIS THOMAS COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.T.
Contact information
Practice address
2103 8TH AVE W, SUITE 2, BRADENTON, FL 34205-5814
(479) 254-9515
Mailing address
2103 8TH AVE W, BRADENTON, FL 34205-5814
(479) 254-9515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28227
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149193721
—
AR
Enumeration date
01/31/2006
Last updated
10/20/2014
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