NPI 1508508441

Cocoa Barganier, CTRS

Practitioner Recreation Therapist Jackson, MS

Practice location

Address: 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116
Phone: (601) 668-7293

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Registry record

NPI: 1508508441
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2022
Record last updated: 11 Apr 2022

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.