RAVEN COFFIEL

GOSHEN, NY
NPI1073402053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NY  011037-01)
Enumeration Date2025-07-02
Last Update Date2025-07-22
Business Address
Mrs. RAVEN COFFIEL COTA/L
2001 ROUTE 17M
GOSHEN, NY 10924-5241
Phone number: 845-458-8661
Mailing Address
Mrs. RAVEN COFFIEL COTA/L
PO BOX 780
GREENWOOD LAKE, NY 10925-0780
Phone number: 347-893-4207