Individual
JENNIFER ANN COOZENNOY COCKBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
24491 FALLBROOK AVE, FOREST LAKE, MN 55025-7202
(651) 295-2255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8887
MN
Other
Enumeration date
11/14/2011
Last updated
06/14/2019
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