Individual
JERWAN COCKERHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13411 BRIAR FOREST DR APT 2048, HOUSTON, TX 77077-2645
(312) 907-4955
Mailing address
13411 BRIAR FOREST DR APT 2048, HOUSTON, TX 77077-2645
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212584
TX
Other
Enumeration date
03/15/2015
Last updated
03/15/2015
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