Individual
STEPHANIE LYNN COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
(864) 984-6464
Mailing address
301 PINEHAVEN STREET EXT, LAURENS, SC 29360-2671
(864) 984-6584
(864) 984-6464
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5647
SC
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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