Individual
TRACY RENEE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16555 AGNES ST, GARDNER, KS 66030-8911
(913) 271-0900
Mailing address
16555 AGNES ST, GARDNER, KS 66030-8911
(913) 271-0900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-02485
KS
Other
Enumeration date
03/16/2021
Last updated
03/24/2021
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