JORDAN COUGHLIN

OMAHA, NE
NPI1295100618
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: NE  1315)
Enumeration Date2015-12-10
Last Update Date2015-12-10
Business Address
-- JORDAN COUGHLIN PTA
17600 ARBOR ST
OMAHA, NE 68130-4682
Phone number: 402-717-0210
Mailing Address
-- JORDAN COUGHLIN PTA
5875 GOLD ST
OMAHA, NE 68106-3020
Phone number:
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