Individual
JOSEPH T COCKRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
402 E COLLEGE ST # 310, BRIDGEWATER, VA 22812-1599
(804) 758-2508
Mailing address
402 E COLLEGE ST # 310, BRIDGEWATER, VA 22812-1599
(804) 758-2508
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2018
Last updated
07/01/2021
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