Individual
MR. LESLIE COCHREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
25023 BOTHWELL PARK RD, SEDALIA, MO 65301-0084
(660) 827-3993
Mailing address
213 SELLMAN ST, WARRENSBURG, MO 64093-2031
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2011013621
MO
Other
Enumeration date
08/30/2011
Last updated
08/30/2011
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