Individual
ENGELE RICHARDSON COCKCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., OTR/L
Contact information
Practice address
112 CARRIAGE RIDE LN, SUMMERVILLE, SC 29485-7864
(843) 817-0732
Mailing address
112 CARRIAGE RIDE LN, SUMMERVILLE, SC 29485-7864
(843) 817-0732
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2213
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH0970
—
SC
Enumeration date
01/18/2008
Last updated
01/18/2008
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