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NPI Code Detail

MEDICARE: MS. LYNDSEY DALE COCHRAN PTA

MEDICARE:  MS. LYNDSEY DALE COCHRAN  PTA
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 AssistantA6588LA

General Provider Information

NPI Number : 1508092982
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LYNDSEY DALE COCHRAN PTA
Provider Business Mailing Address
First Line : 4404 STUMBERG LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4568
Country : US
Telephone Number : 225-938-1257
Fax Number :
Provider Business Practice Location Address
First Line : 4404 STUMBERG LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-4568
Country : US
Telephone Number : 225-938-1257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2009
Last Update Date : 05/30/2009

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Directions to “ MS. LYNDSEY DALE COCHRAN PTA” Practice Location

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