JEROME RAYMOND COBURN

ASHLAND, KY
NPI1881735108
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OH  PTA00131)
Enumeration Date2007-02-09
Last Update Date2007-07-08
Business Address
-- JEROME RAYMOND COBURN PTA
2400 13TH STREET
ASHLAND, KY 41102
Phone number: 606-329-0910
Mailing Address
-- JEROME RAYMOND COBURN PTA
PO BOX 1240
ASHLAND, KY 41105
Phone number: 606-325-7953
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