Individual
TIMMY LOWELL COCHRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
2342 HIGHWAY 80 E, TALLULAH, LA 71282-5970
(601) 415-6052
Mailing address
2342 HIGHWAY 80 E, TALLULAH, LA 71282-5970
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
TA0721
MS
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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