Cobb, Tracy M

Cobb, Tracy M is an individual health care provider with primary practice located at 3650 Coalition Dr , Myrtle Beach SC 29588-6183. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Cobb, Tracy M can be contacted via phone (843) 293-7713.

Contact Information

Primary practice address
3650 Coalition Dr Myrtle Beach SC 29588-6183
Phone: (843) 293-7713
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 631 South Carolina

Profile Details

NPI number 1578512414
LBN Legal business name Cobb, Tracy M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578512414 NPPES
South Carolina MEDICAID TH0069

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