Individual
MR. THOMAS KELLY COGDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
500 PROSPECT AVE, OXFORD, NC 27565-2543
(919) 693-1531
Mailing address
11310 INVOLUTE PL APT 100, RALEIGH, NC 27617-8509
(919) 692-1005
(919) 692-1005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3518
NC
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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