MRS. Deidra K Cockroft, PT
NPI #1265495154 in Kosciusko, Mississippi
Provider Information
- NPI Number
- 1265495154
- Entity Type
- Individual
- Name
- MRS. Deidra K Cockroft, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Mar 31, 2022
Practice Location
- Address
- 130 PARKWAY PLZ
- City
- Kosciusko
- State
- Mississippi
- ZIP Code
- 39090-3217
- Phone
- (662) 289-3588
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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