Individual
MS. MICHELLE LEE COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
313 N HURSTBOURNE PARKWAY, SUITE 211, LOUISVILLE, KY 41222-6054
(512) 412-5847
Mailing address
313 N HURSTBOURNE PARKWAY, SUITE 211, LOUISVILLE, KY 41222-6054
(512) 412-5847
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
04518
OH
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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