Individual
AMANDA L COCKERELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
330 E MAPLE ST, NORTH CANTON, OH 44720
(330) 498-8200
Mailing address
330 E MAPLE ST, NORTH CANTON, OH 44720
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA008260
OH
Other
Enumeration date
06/30/2016
Last updated
11/14/2024
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