Cockrell, Mary
Cockrell, Mary is an individual health care provider with primary practice located at 2001 52Nd Ave , Moline IL 61265-6368. 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. Cockrell, Mary can be contacted via phone (309) 736-9317.Contact Information
Primary practice address
2001 52Nd Ave
Moline IL 61265-6368
Phone: (309) 736-9317
Fax: (309) 736-9572
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | Illinois |
Profile Details
| NPI number | 1710972252 |
|---|---|
| LBN Legal business name | Cockrell, Mary |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| 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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