Individual
MACKENZIE D COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
901 ENTERPRISE PKWY STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
(757) 827-2566
Mailing address
901 ENTERPRISE PKWY, STE 900, HAMPTON, VA 23666-6250
(757) 827-2480
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305212943
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30017540440001
—
VA
05
—
30017540440002
—
VA
05
—
30017540440003
—
VA
Enumeration date
09/09/2015
Last updated
02/01/2024
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