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Individual
MR. MICHAEL DENNIS COULTER
Active
Individual
MR. MICHAEL DENNIS COULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6191
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000272642
ANTHEM
OH
05
—
2308185
—
OH
01
—
341952632-00
WORKERS COMP
OH
Enumeration date
05/01/2007
Last updated
07/09/2007
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