Individual
CRYSTAL DAWN COCHRAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
10513 DEMILO PL, APT. #312, ORLANDO, FL 32836-6686
(217) 821-9165
Mailing address
10513 DEMILO PL, APT. #312, ORLANDO, FL 32836-6686
(217) 821-9165
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1810
FL
2255A2300X
Athletic Trainer
—
FL
Other
Enumeration date
05/26/2006
Last updated
07/08/2007
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