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NPI Code Detail

MEDICARE: GLADYS MICHELLE COCHRAN

MEDICARE: GLADYS MICHELLE COCHRAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA-1204OH

General Provider Information

NPI Number : 1396996310
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLADYS MICHELLE COCHRAN
Provider Business Mailing Address
First Line : 21800 CHARDON RD
Second Line :
City : EUCLID
State : OH
Zip : 44117-2125
Country : US
Telephone Number : 216-481-9159
Fax Number :
Provider Business Practice Location Address
First Line : 21800 CHARDON RD
Second Line :
City : EUCLID
State : OH
Zip : 44117-2125
Country : US
Telephone Number : 216-481-9159
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/08/2008
Last Update Date : 10/08/2008

Similar Medicare Providers

1053309211 — SISTERS OF ST. JOSEPH OF ST. MARK - MOUNT ST. JOSEPH
Practice Location Address:
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44117-2125
Practice Phone: 216-531-7426
Practice Fax: 216-531-4033
1518114263 — ROBIN FLATE-STRUBBE
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1821247362 — MRS. MICHELLE GENOVESE
Practice Location Address:
21800 CHARDON RD
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Practice Fax:
1831340850 — MICHELLE WAGNER IV
Practice Location Address:
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EUCLID, OH
44117-2125
Practice Phone: 216-481-9159
Practice Fax:
1558512574 — ELISABETH KLINE
Practice Location Address:
21800 CHARDON RD
EUCLID, OH
44117-2125
Practice Phone: 216-481-9159
Practice Fax:
1669079661 — MRS. RACHELLE GEISINGER
Practice Location Address:
21800 CHARDON RD
EUCLID, OH
44117-2125
Practice Phone: 216-531-7426
Practice Fax: 216-531-7911

Directions to “ GLADYS MICHELLE COCHRAN ” Practice Location

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