Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 40QA01705600 | NJ |
NPI | 1679019210 |
---|---|
Provider Name | Brittany Cochario |
First Address | Morristown, NJ 07960-4713 |
Second Address | Saddle Brook, NJ 07663-5309 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/01/2017 |
Last Update Date | 06/01/2017 |