MICHAEL LLOYD COULTER

BLUE GRASS, IA
NPI1720381866
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: IL  160003057)
Enumeration Date2010-12-13
Last Update Date2010-12-13
Business Address
-- MICHAEL LLOYD COULTER PTA
7411 112TH ST
BLUE GRASS, IA 52726-9121
Phone number: 563-343-4735
Mailing Address
-- MICHAEL LLOYD COULTER PTA
2141 10TH STREET PL
EAST MOLINE, IL 61244-2523
Phone number: 309-721-6289
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