Provider Demographics
NPI:1699024737
Name:COBLE, ANNA
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:
Last Name:COBLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1901 COMMONWEALTH CT STE B
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-2355
Mailing Address - Country:US
Mailing Address - Phone:502-458-9978
Mailing Address - Fax:
Practice Address - Street 1:1901 COMMONWEALTH CT STE B
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40299-2355
Practice Address - Country:US
Practice Address - Phone:502-608-7122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist