SANDY HEATH COCKRELL

KOSCIUSKO, MS
NPI1679025928
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MS  2086)
Enumeration Date2016-11-02
Last Update Date2016-11-02
Business Address
-- SANDY HEATH COCKRELL
220 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3208
Phone number: 318-649-6181
Mailing Address
-- SANDY HEATH COCKRELL
4109 HIGHWAY 98 W
SUMMIT, MS 39666-9132
Phone number: 601-276-3900