Organization
COKER REHABILITATION SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAVID COKER MPT (OWNER)
(903) 872-5925
Entity
Organization
Contact information
Practice address
400 OAKLAWN AVE, CORSICANA, TX 75110-2937
(903) 872-5925
(903) 872-9608
Mailing address
PO BOX 631, CORSICANA, TX 75151-0631
(903) 879-6770
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0066MR
BCBS GROUP NUMBER
TX
Enumeration date
06/25/2006
Last updated
08/22/2020
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