Individual
TABITHA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1501 SAN PEDRO DR SE BLDG 15, ALBUQUERQUE, NM 87108-5153
(505) 265-1711
Mailing address
12120 MENAUL BLVD NE APT 3, ALBUQUERQUE, NM 87112-2428
(228) 990-5857
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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