Paul Michael Cockerham, PT

NPI #1356616759 in Chewelah, Washington

Provider Information

NPI Number: 1356616759
Entity Type: Individual
Name: Paul Michael Cockerham, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 19, 2012
Last Updated: Mar 19, 2012

Practice Location

Address: 101 N. PARK ST.
City: Chewelah
State: Washington
ZIP Code: 99109
Phone: (509) 935-4988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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Organizations

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