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Individual

CARY COCHRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1515 UNIVERSITY BLVD S, MOBILE, AL 36609-2958
(251) 343-9600
(251) 380-3328
Mailing address
480 WEDGEFIELD DR S, MOBILE, AL 36608-8483
(251) 343-9600
(251) 380-3328

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4363
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA4363
STATE LICENSE
AL
Enumeration date
05/23/2007
Last updated
07/08/2007
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