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NPI Code Detail

MEDICARE: MS. BARBARA CAROL COKER P.T.

MEDICARE: MS. BARBARA CAROL COKER P.T.
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
1225100000XPhysical TherapistPTH 3200AL

General Provider Information

NPI Number : 1578621728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA CAROL COKER P.T.
Provider Business Mailing Address
First Line : 2407 LOOKOUT ST
Second Line :
City : GADSDEN
State : AL
Zip : 35904-3322
Country : US
Telephone Number : 256-547-5899
Fax Number :
Provider Business Practice Location Address
First Line : 3102 RAINBOW DR
Second Line :
City : RAINBOW CITY
State : AL
Zip : 35906-5804
Country : US
Telephone Number : 256-413-7422
Fax Number : 256-442-8106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2006
Last Update Date : 07/09/2007

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