| NPI | 1831477678 |
|---|---|
| Former Name | STEPHANIE A COFFEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MO 2021002742) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: IL 070.018497) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2021-02-17 |