Individual
GABRIELLE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
535 N NOVA RD, ORMOND BEACH, FL 32174
(386) 310-1397
Mailing address
335 PALM CIR, FLAGLER BEACH, FL 32136-6015
(386) 338-4526
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 26865
FL
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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