| NPI | 1942811062 |
|---|---|
| Former Name | KRISTEN COFFMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: CA PT298104) |
| Additional Taxonomies | 2251N0400X Physical Therapist, Neurology (Licence: CA PT298104) |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2020-08-12 |