Individual
MICKEY VAL COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
117 S TIMBERLINE DR, PERKINS, OK 74059-3317
(405) 777-8335
Mailing address
117 S TIMBERLINE DR, PERKINS, OK 74059-3317
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2893
OK
Other
Enumeration date
01/06/2023
Last updated
01/06/2023
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