Individual
AMANDA ANNE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5445
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00969336
RR MEDICARE
OR
Enumeration date
09/11/2008
Last updated
10/31/2011
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