Individual
SAMANTHA CAMILLE COCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LMT
Contact information
Practice address
2797 WEWATTA WAY UNIT 3037, DENVER, CO 80216-3652
(518) 810-7095
Mailing address
2797 WEWATTA WAY UNIT 3037, DENVER, CO 80216-3652
(518) 810-7095
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AT002650
GA
225700000X
Massage Therapist
Primary
MT.0023205
CO
225700000X
Massage Therapist
MT010471
GA
Other
Enumeration date
03/22/2016
Last updated
01/24/2021
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