Individual
MRS. CARLENE COCKREIL-JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
525 OAK CENTRE DR STE 450, SAN ANTONIO, TX 78258-4072
(210) 297-4525
Mailing address
525 OAK CENTRE DR STE 450, SAN ANTONIO, TX 78258-4072
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
1020220
TX
Other
Enumeration date
11/16/2011
Last updated
11/16/2011
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