Individual
MR. SCOTT WAYNE COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3347 MASONIC DR, ALEXANDRIA, LA 71301-3842
(318) 448-4959
Mailing address
230 TWIN OAKS RD W, PINEVILLE, LA 71360-7743
(318) 443-6765
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J00149
LA
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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