SHANNON DALE COFFMAN

MADISONVILLE, KY
NPI1790121697
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: KY  A01656)
Enumeration Date2013-05-17
Last Update Date2013-05-17
Business Address
-- SHANNON DALE COFFMAN PTA
808 BROWN RD
MADISONVILLE, KY 42431-2212
Phone number: 270-871-3122
Mailing Address
-- SHANNON DALE COFFMAN PTA
808 BROWN RD
MADISONVILLE, KY 42431-2212
Phone number: 270-871-3122
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