Joseph T Cockrell
Specialist/Technologist, Athletic Trainer in Bridgewater, VA. Individual provider (NPI-1).
NPI number1982192837
StatusActive
Last updated in NPPESJul 1, 2021
Details
- NPI
- 1982192837
- Entity type
- Individual (NPI-1)
- Name
- Joseph T Cockrell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2018
- Certification date
- Jul 1, 2021
- Last updated
- Jul 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
402 E College St # 310Bridgewater, VA 22812-1599
Phone 804-758-2508
Mailing address
402 E College St # 310Bridgewater, VA 22812-1599
Phone 804-758-2508
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