Individual
MRS. JACQUELINE LEIGH KOCKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
11940 ALPHARETTA HWY, 150, ALPHARETTA, GA 30009-2003
(770) 754-0085
(770) 754-9288
Mailing address
11940 ALPHARETTA HWY, 150, ALPHARETTA, GA 30009-2003
(770) 754-0085
(770) 754-9288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 010461
GA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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