Individual
KRISTEN TAYLOR COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 PROVIDENCE HWY, DEDHAM, MA 02026-1881
(781) 326-8332
Mailing address
200 PROVIDENCE HWY, DEDHAM, MA 02026-1881
(781) 326-8332
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
23581
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23581
LICENSE NUMBER
MA
Enumeration date
03/03/2020
Last updated
03/03/2020
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