Individual
VINCENT B COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR-L
Contact information
Practice address
3130 E BROADWAY RD, MESA, AZ 85204-1740
(480) 396-5500
Mailing address
7299 E CLIFF ROSE TRL, GOLD CANYON, AZ 85218-1931
(480) 981-0763
(480) 981-0763
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3740
AZ
225X00000X
Occupational Therapist
KY-R3005
KY
225X00000X
Occupational Therapist
OT-006111
OH
Other
Enumeration date
05/13/2007
Last updated
07/08/2007
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