| NPI | 1346751476 |
|---|---|
| Former Name | MADDIE MAE COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 1773) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NE 1773) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2017-10-16 |