NPI 1083804462

Chantal Jackqueline Cobb

Practitioner Contractor Jacksonville, FL

Practice location

Address: 5816 Dickson Rd, Jacksonville, FL 32211-4600
Phone: (904) 993-7048
Fax: (904) 744-0293

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence PTA 18829 (FL)

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Registry record

NPI: 1083804462
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Jul 2007
Record last updated: 31 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.