Individual
KENYATTA COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10910 KILPATRICK AVE APT 3NE, OAK LAWN, IL 60453-8503
(773) 540-9029
Mailing address
10910 KILPATRICK AVE APT 3NE, OAK LAWN, IL 60453-8503
(773) 540-9029
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.013176
IL
Other
Enumeration date
03/30/2022
Last updated
03/30/2022
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