KRYSTAL ANN COOGAN

VACAVILLE, CA
NPI1700309242
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: CA  OTA3948)
Enumeration Date2017-07-17
Last Update Date2017-07-17
Business Address
KRYSTAL ANN COOGAN COTA/L
585 NUT TREE CT
VACAVILLE, CA 95687-3353
Phone number: 707-449-8000
Mailing Address
KRYSTAL ANN COOGAN COTA/L
970 SUNSET DR
DIXON, CA 95620-3757
Phone number: