Individual
CHARLES WILLSON COCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1220 CROZET AVE, CROZET, VA 22932-3163
(434) 363-2482
(847) 730-2939
Mailing address
100 NORWICH ST APT 109, CHARLOTTESVILLE, VA 22903-6410
(757) 902-0466
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305214492
VA
225100000X
Physical Therapist
26869
MD
Other
Enumeration date
02/12/2018
Last updated
10/26/2021
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