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Individual

MR. WILLIAM T COCHRAN JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
52 98 PLACE BLVD, HATTIESBURG, MS 39402-8063
(601) 296-0199
(601) 296-0189
Mailing address
6068 HIGHWAY 98, SUITE 1196, HATTIESBURG, MS 39402-8861
(601) 296-0199
(601) 296-0189

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3441
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08589350
MS
Enumeration date
11/02/2005
Last updated
07/08/2007
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