Helen M Cochran, OTR

Individual provider Active NPI Occupational Therapist · Southold, NY

NPI 1376811646 · NPPES record last updated Dec 1, 2011

Key facts

NPI
1376811646
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
002314-1 (NY)
Practice address
65 Garden CT
Southold, NY 11971-1257
Phone
(631) 765-5828
NPI assigned
Dec 1, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
002314-1NYMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 002314-1 NY Yes

Addresses

Primary practice location

65 Garden CT
Southold, NY 11971-1257

Mailing address

65 Garden CT
P.O.Box 1623
Southold, NY 11971-1257
Phone (631) 765-5828

Other providers in Southold, NY

All providers in Southold, NY · Occupational Therapist in New York

Sources for this page

Verify at the official NPI Registry.