| NPI | 1306925078 |
|---|---|
| Former Name | STACEY LYNN COCHRANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: OK 4777) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: TX 1168697) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-04-08 |