John Derek Cogdill, OT Valid NPI
Individual provider · Occupational Therapist · Lake Jackson, TX
- NPI
- 1528791415
- Type
- Individual (Type 1)
- Primary specialty
- Occupational Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225X00000X
- License number
- 122982 (TX)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2022-07-07
- Last updated
- 2022-08-30
Practice location
309 Plantation Dr
Lake Jackson, TX 77566-6142
(979) 418-7165