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Brienna Cobb, COTA/L

NPI 1548510266 · on the registry since 2012 · sole proprietor

Practice

Address
10302 Metalmark Ln Unit 1
Roscoe, IL 61073
Phone
(262) 215-4937

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Also registered as
224Z00000X
Licence states on file
IL, WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois