Individual
MARY CRISS COCKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3443 MERRICK LN, MARGATE, FL 33063-8245
(561) 504-8831
Mailing address
3443 MERRICK LN, MARGATE, FL 33063-8245
(561) 504-8831
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OT10614
FL
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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