Individual
JOHN DEREK COGDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
212525
TX
225X00000X
Occupational Therapist
Primary
122982
TX
Other
Enumeration date
07/07/2022
Last updated
08/30/2022
Update your record
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